| Dr Michael Scott Clark, DC | |
|
380 E Main St, Suite E, Lehi, UT 84043-2228 | |
| (801) 768-2939 | |
| (801) 768-2955 |
| Full Name | Dr Michael Scott Clark |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 28 Years |
| Location | 380 E Main St, Lehi, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710059035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6204897-1202 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Escalon Physical Medicine Inc | 4880918192 | 3 |
| Provider Name | Escalon Physical Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821417866 PECOS PAC ID: 4880918192 Enrollment ID: O20150115000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Scott Clark, DC 380 E Main St, Suite E, Lehi, UT 84043-2228 Ph: (801) 768-2939 | Dr Michael Scott Clark, DC 380 E Main St, Suite E, Lehi, UT 84043-2228 Ph: (801) 768-2939 |
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