Holly Clark in Salt Lake City - Gastroenterology
Holly Clark - NPI 1376639047
Holly Clark is a Gastroenterology in Salt Lake City, Utah. Holly Clark practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Holly Clark is 1376639047. The last update date is 2015-06-09.
Holly Clark's current location address is 6360 S 3000 E, Salt Lake City, Utah. You can contact this provider via phone number 8012633041 and fax number 8012638485. The mailing address for Holly Clark is 6360 S 3000 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Clark |
|---|---|
| Address | 6360 S 3000 E, Salt Lake City, Utah |
| Phone Number | 8012633041 |
| Fax Number | 8012638485 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376639047 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2015-06-09 |
Provider Mailing Address Detail
| Address | 6360 S 3000 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841216923 |
| Phone Number | 8012633041 |
| Fax Number | 8012638485 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 4977163 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49771631200001 | UT | BLUE CROSS BLUE SHIELD | |
| 49771631200001 | UT | HEALTHWISE | |
| 49771631200001 | UT | VALUE CARE | |
| 78498 | UT | PUBLIC EMPLOYEES | |
| QM0000217387 | UT | ALTIUS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Holly Clark by the Centers for Medicare & Medicaid Services?
The Holly Clark has been issued the NPI (National Provider Identifier) 1376639047 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Holly Clark located?
The Holly Clark is located at 6360 S 3000 E, Salt Lake City, UT 841216923.
What is Holly Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly Clark's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376639047 to Holly Clark?
The Centers for Medicare & Medicaid Services originally issued the 1376639047 to Holly Clark on 2006-10-04.
As of what date was the information pertaining to Holly Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Holly Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-09.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY