Individual
DR. CABE RISO CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 N 1000 W, TREMONTON, UT 84337-9356
(435) 207-4500
(435) 207-4685
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8780963
UT
207P00000X
Emergency Medicine Physician
Primary
8780963-1205
UT
Other
Enumeration date
06/16/2009
Last updated
01/15/2026
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