Individual
JAMES L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
383 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 576-6417
Mailing address
383 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 576-6417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
901805591205
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
180559-1205
UT
Other
Enumeration date
07/31/2006
Last updated
06/25/2019
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