Individual
CLARK STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8850924-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
5151013700
MI
Other
Enumeration date
07/01/2019
Last updated
12/19/2023
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