NPI 1922339373

Jill E Clark MD PC

Organisation Colon & Rectal Surgery Physician Salt Lake City, UT

Practice location

Address: 1220 E 3900 S STE 4i, Salt Lake City, UT 84124-1377
Phone: (801) 263-1621
Fax: (801) 263-1647

Authorised official

Name: Jill E Clark
Title: President
Phone: (801) 263-1621

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 73799221205 (UT)

Other Colon & Rectal Surgery providers in Utah →

Registry record

NPI: 1922339373
Entity type: Organization
NPI issued: 26 Jan 2010
Record last updated: 26 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.