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Dr. Holly Clark, MD
Gastroenterology Physician in Salt Lake City, Utah
NPI 1376639047

Holly Clark is a Gastroenterology Physician based in Salt Lake City, UT and is specialized in Gastroenterology. Holly Clark practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Holly Clark is 1376639047 and holds a License No. 4977163 (Utah).

The current practice location address for Holly Clark is 1250 E 3900 S, Salt Lake City, UT and can be reached out via phone at 801-263-3041 and via fax at 801-263-8485.

Location: 1250 E 3900 S, Salt Lake City, UT, 84121-6923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376639047
Provider Name
Holly Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1250 E 3900 S, Salt Lake City, UT, 84121-6923
Phone Number
801-263-3041
Fax Number
801-263-8485
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49771631200001 01 UT BLUE CROSS BLUE SHIELD
49771631200001 01 UT HEALTHWISE
49771631200001 01 UT VALUE CARE
78498 01 UT PUBLIC EMPLOYEES
QM0000217387 01 UT ALTIUS
institution
Provider Business Practice Location Address Details
Address
1250 E 3900 S
City
Salt Lake City
State
Utah
Zip
84124-1348
Phone Number
801-263-3041
Fax Number
801-263-8485
person
Provider Business Mailing Address Details
Address
1250 E 3900 S
City
Salt Lake City
State
Utah
Zip
84124-1348
Phone Number
801-263-3041
Fax Number
801-263-8485
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
4977163 (Utah)
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 performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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