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Dr. Nicole Anne Clark, MD
Family Medicine Physician in Provo, Utah
NPI 1760598411

Nicole Anne Clark is a Family Medicine Physician based in Salt Lake City, UT. Nicole Anne Clark practices in Provo, UT and has the professional credentials of MD. The NPI Number for Nicole Anne Clark is 1760598411 and holds a License No. 4775416-1205 (Utah).

The current practice location address for Nicole Anne Clark is 475 W 940 N, Provo, UT and can be reached out via phone at 801-357-7930. You can also correspond with Nicole Anne Clark through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: 801-367-1075).

Location: 475 W 940 N, Provo, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760598411
Provider Name
Nicole Anne Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
475 W 940 N, Provo, UT, 84127-0128
Phone Number
801-357-7930
Fax Number
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
475 W 940 N
City
Provo
State
Utah
Zip
84604-3301
Phone Number
801-357-7930
Fax Number
person
Provider Business Mailing Address Details
Address
475 W 940 N
City
Provo
State
Utah
Zip
84604-3301
Phone Number
801-357-7930
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4775416-1205 (Utah)
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.
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