Bryan A Clark is a Medical in Salt Lake City, Utah. Bryan A Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Bryan A Clark is 1093777047. The last update date is 2016-04-22.
Bryan A Clark's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8015717061. The mailing address for Bryan A Clark is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan A Clark |
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Address | Po Box 27128, Salt Lake City, Utah |
Phone Number | 8015717061 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1093777047 |
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Provider Enumeration Date | 2006-04-05 |
Last Updated Date | 2016-04-22 |
Provider Mailing Address Detail
Address | Po Box 27128 |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841270128 |
Phone Number | 8015717061 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 3231151206 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
107021850101 | UT | INTERMOUNTAIN HEALTH | |
999000116008 | UT | -- |
Post Comment/ Review Below
What is the Bryan A Clark's 1093777047?
The Bryan A Clark's NPI (National Provider Identifier) Number is 1093777047. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bryan A Clark's facilities are situated?
The facilities of Bryan A Clark are physically located at the following address: Po Box 27128, Salt Lake City, UT, 841270128.
What is Bryan A Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bryan A Clark is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did Bryan A Clark receive its 1093777047 assignment from the Centers for Medicare & Medicaid Services?
The Bryan A Clark was assigned its 1093777047 on 2006-04-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bryan A Clark most recently updated or revised?
The information pertaining to Bryan A Clark, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-22.