NPI 1285617928

Clark K. Loftus, MD

Practitioner Pediatrics Physician Bountiful, UT

Practice location

Address: 620 Medical Dr #100, Bountiful, UT 84010-5084
Phone: (801) 295-2888
Fax: (801) 295-0311

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 248724-1205 (UT)

Other Pediatrics providers in Utah →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 40502 (CO)

Registry record

NPI: 1285617928
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2005
Record last updated: 26 Jul 2013

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.