Individual
CLARK J RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 COTTONWOOD ST, SUITE 410, MURRAY, UT 84107-6767
(801) 266-8850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 266-8850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3355181205
UT
Other
Enumeration date
08/02/2006
Last updated
04/24/2014
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