Individual
MS. BONNIE B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
(435) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
196561-4405
UT
Other
Enumeration date
07/11/2006
Last updated
06/30/2023
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