person
Bryan A Clark, PA-C
Surgical Physician Assistant in Sandy, Utah
NPI 1093777047

Bryan A Clark is a Surgical Physician Assistant based in Salt Lake City, UT and is specialized in Surgical. Bryan A Clark practices in Sandy, UT and has the professional credentials of PA-C. The NPI Number for Bryan A Clark is 1093777047 and holds a License No. 3231151206 (Utah).

The current practice location address for Bryan A Clark is 9844 S 1300 E, Sandy, UT and can be reached out via phone at 801-571-7061 and via fax at 801-571-9277.

Location: 9844 S 1300 E, Sandy, UT, 84127-0128
person
Provider Profile Details
NPI Number
1093777047
Provider Name
Bryan A Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9844 S 1300 E, Sandy, UT, 84127-0128
Phone Number
801-571-7061
Fax Number
801-571-9277
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107021850101 01 UT INTERMOUNTAIN HEALTH
999000116008 05 UT
institution
Provider Business Practice Location Address Details
Address
9844 S 1300 E
City
State
Zip
84094-4692
Phone Number
801-571-7061
Fax Number
801-571-9277
person
Provider Business Mailing Address Details
Address
9844 S 1300 E
City
State
Zip
84094-4692
Phone Number
801-571-7061
Fax Number
801-571-9277
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3231151206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3231151206 (Utah)
Definition
Definition to come...
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