| Scott A Clark, DPM | |
|
24 S 1100 E Ste 210, Salt Lake City, UT 84102 | |
| (801) 505-5277 | |
| (801) 505-5280 |
| Full Name | Scott A Clark |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 34 Years |
| Location | 24 S 1100 E Ste 210, Salt Lake City, 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 |
|---|---|---|---|
| 1700865748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 106339-0501 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Podiatry Group Pc | 2163592379 | 9 |
| Provider Name | Utah Podiatry Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659540359 PECOS PAC ID: 2163592379 Enrollment ID: O20080530000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Clark, DPM Po Box 540610, N Salt Lake, UT 84054-0610 Ph: (801) 451-6060 | Scott A Clark, DPM 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Ph: (801) 505-5277 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Benjamin Arthur Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1036 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 |