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Stephen Clark, DO
Student in an Organized Health Care Education/Training Program in Ogden, Utah
NPI 1760872071

Stephen Clark is a Student in an Organized Health Care Education/Training Program based in Ogden, UT. Stephen Clark practices in Ogden, UT and has the professional credentials of DO. The NPI Number for Stephen Clark is 1760872071 and holds a License No. 20A18092 (Utah).

The current practice location address for Stephen Clark is 4403 Harrison Blvd Ste 700A, Ogden, UT and can be reached out via phone at 801-387-5300. You can also correspond with Stephen Clark through the mailing address at 4403 HARRISON BLVD STE 700A, OGDEN, UT - 84403-3295 (mailing address contact number: ).

Location: 4403 Harrison Blvd Ste 700A, Ogden, UT, 84403-3295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760872071
Provider Name
Stephen Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4403 Harrison Blvd Ste 700A, Ogden, UT, 84403-3295
Phone Number
801-387-5300
Fax Number
Provider Enumeration Date
01/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4403 Harrison Blvd Ste 700A
City
Ogden
State
Utah
Zip
84403-3295
Phone Number
801-387-5300
Fax Number
person
Provider Business Mailing Address Details
Address
4403 Harrison Blvd Ste 700A
City
Ogden
State
Utah
Zip
84403-3295
Phone Number
801-387-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
20A18092 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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