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Chad Jeremy Clark, DO
Obstetrics & Gynecology Physician in Park City, Utah
NPI 1346339496

Chad Jeremy Clark is a Obstetrics & Gynecology Physician based in Salt Lake City, UT. Chad Jeremy Clark practices in Park City, UT and has the professional credentials of DO. The NPI Number for Chad Jeremy Clark is 1346339496 and holds a License No. 46699 (Utah).

The current practice location address for Chad Jeremy Clark is 900 Round Valley Dr, Park City, UT and can be reached out via phone at 435-658-7400. You can also correspond with Chad Jeremy Clark through the mailing address at PO BOX 30180, SALT LAKE CITY, UT - 84130-0180 (mailing address contact number: 719-330-7854).

Location: 900 Round Valley Dr, Park City, UT, 84130-0180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346339496
Provider Name
Chad Jeremy Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
900 Round Valley Dr, Park City, UT, 84130-0180
Phone Number
435-658-7400
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46699 01 CO LICENSE
institution
Provider Business Practice Location Address Details
Address
900 Round Valley Dr
City
Park City
State
Utah
Zip
84060-7552
Phone Number
435-658-7400
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 30180
City
Salt Lake City
State
Utah
Zip
84130-0180
Phone Number
719-330-7854
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
DOS994 (Hawaii)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
46699 (Colorado)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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