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Daniel Clark 04/21/1970

NPI 1972756708 · on the registry since 2008

Practice

Address
160 N Center St
American Fork, UT 84003
Phone
(801) 756-3860
Fax
(801) 756-3860

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah