| S. Corbin Clark M.d.p.c. | |
|
9690 S 1300 E Suite 100 Sandy UT 84094-3721 | |
| (801) 571-5121 | |
| Not Available |
| Full Name | S. Corbin Clark M.d.p.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 9690 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | S. Corbin Clark (DR.) |
| Authorized Official Contact | 8015715121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Corbin Clark M.d.p.c. 9690 S 1300 E Suite 100 Sandy UT 84094-3721 Ph: (801) 571-5121 | S. Corbin Clark M.d.p.c. 9690 S 1300 E Suite 100 Sandy UT 84094-3721 Ph: (801) 571-5121 |
| NPI Number | 1275789307 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275789307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 172492-1205 (Utah) | Primary |
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