| Logan S Clark, PA-C | |
|
8211 W 3500 S, Magna, UT 84044-1851 | |
| (801) 250-9638 | |
| (801) 250-3204 |
| Full Name | Logan S Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8211 W 3500 S, Magna, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154593275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5262016-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan S Clark, PA-C 3336 Pioneer Pkwy, Suite 201, West Valley, UT 84120-2000 Ph: (801) 250-9638 | Logan S Clark, PA-C 8211 W 3500 S, Magna, UT 84044-1851 Ph: (801) 250-9638 |
Scott Edward Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Suite 110, Magna, UT 84044 Phone: 801-250-9638 Fax: 801-250-3204 | |
Kristine Holly Frost, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8211 West 3500 South, Magna, UT 84044 Phone: 801-250-9638 Fax: 801-250-3204 | |
Jeffrey Brent Mcdonald, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Cassey Curry, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 Fax: 801-250-3204 | |
Tate Alan Jensen, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 8211 W 3500 S, Magna, UT 84044 Phone: 801-250-9638 Fax: 801-250-3204 | |
Christina Curtner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 |