| Bryan A Clark, PA-C | |
|
9844 S 1300 E, Ste 275, Sandy, UT 84094-4692 | |
| (801) 571-7061 | |
| (801) 571-9277 |
| Full Name | Bryan A Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 9844 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 |
|---|---|---|---|
| 1093777047 | NPI | - | NPPES |
| 107021850101 | Other | UT | INTERMOUNTAIN HEALTH |
| 999000116008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3231151206 (Utah) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 3231151206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3063 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan A Clark, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 571-7061 | Bryan A Clark, PA-C 9844 S 1300 E, Ste 275, Sandy, UT 84094-4692 Ph: (801) 571-7061 |
Wei Ting Chao, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W 9000 S, Sandy, UT 84070 Phone: 801-562-5200 | |
Desiree Deon Clark, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-965-3600 | |
Megan Lancaster, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7998 S 1300 E, Sandy, UT 84094 Phone: 801-255-2000 Fax: 801-325-7185 | |
Mr. Gordon Lynn Day, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9665 S 1835 E, Sandy, UT 84092 Phone: 801-879-3331 Fax: 801-576-4285 | |
Tyler Williamson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 580 E 9400 S, 103, Sandy, UT 84070 Phone: 225-939-8180 | |
Travis Cook, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, 120, Sandy, UT 84094 Phone: 801-501-6150 |