| Dr Stanley Corbin Clark, MD | |
|
9690 S 1300 E, 100, Sandy, UT 84094-3721 | |
| (801) 571-5121 | |
| (801) 572-5358 |
| Full Name | Dr Stanley Corbin Clark |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 47 Years |
| Location | 9690 S 1300 E, Sandy, 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 |
|---|---|---|---|
| 1770591620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 172492-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley Corbin Clark, MD 9690 S 1300 E, 100, Sandy, UT 84094-3721 Ph: (801) 571-5121 | Dr Stanley Corbin Clark, MD 9690 S 1300 E, 100, Sandy, UT 84094-3721 Ph: (801) 571-5121 |
Dr. Elisabeth A Ferlic, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9720 S 1300 E, Suite E230, Sandy, UT 84094 Phone: 801-501-2950 Fax: 801-501-2951 | |
Dr. Richard Francis Labasky, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, #303, Sandy, UT 84094 Phone: 801-501-5300 Fax: 801-501-5350 | |
Dr. Jay B Page, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-993-1800 |