NPI 1295741114

Thomas H Clark, MD

Practitioner Family Medicine Physician Providence, UT

Practice location

Address: 595 W 465 N, Providence, UT 84332
Phone: (385) 238-3900
Fax: (385) 238-3901
Mailing address: PO Box 5546, Denver, CO 80217-5546

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6049303-1205 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1295741114
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 5 Feb 2024

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.