William Matt Clark in Salt Lake City - Anesthesiology
William Matt Clark - NPI 1386759041
William Matt Clark is a Anesthesiology in Salt Lake City, Utah. William Matt Clark practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for William Matt Clark is 1386759041. The last update date is 2007-07-08.
William Matt Clark's current location address is 1954 Fort Union Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8019939551 and fax number 8017335872. The mailing address for William Matt Clark is 1954 Fort Union Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Matt Clark |
|---|---|
| Address | 1954 Fort Union Blvd, Salt Lake City, Utah |
| Phone Number | 8019939551 |
| Fax Number | 8017335872 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386759041 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1954 Fort Union Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841216800 |
| Phone Number | 8019939551 |
| Fax Number | 8017335872 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 170625-1205 |
|
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PRA01666 | UT | MOLINA | |
| 107010384101 | UT | IHC | |
| QM0000049510 | UT | ALTIUS | |
| 17965 | UT | PEHP | |
| 401765 | MT | -- | |
| 2000040 | UT | UNITED HEALTHCARE | |
| 2430 | UT | HEALTHY U | |
| 416932 | UT | DESERET MUTUAL | |
| 870280408CL2 | UT | EDUCATORS MUTUAL |
Post Comment/ Review Below
What is the William Matt Clark's 1386759041?
The William Matt Clark's NPI (National Provider Identifier) Number is 1386759041. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of William Matt Clark?
The William Matt Clark is situated at 1954 Fort Union Blvd, in the city of Salt Lake City, state of UT, with the zip code 841216800.
What is William Matt Clark's area of expertise and its corresponding taxonomy classification?
The William Matt Clark's field of specialization is Anesthesiology, and it falls under the taxonomy code 207L00000X, which categorizes healthcare providers based on their areas of practice.
When was the William Matt Clark's 1386759041 issued?
The William Matt Clark's 1386759041 was issued on 2006-08-20.
As of what date were the William Matt Clark's details last updated?
The information pertaining to the William Matt Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.