Individual
ANDREA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS(OB/GYN)(ABD)
Contact information
Practice address
328 W 200 S, 202, SALT LAKE CITY, UT 84101-1213
(801) 703-4419
Mailing address
328 W 200 S, 202, SALT LAKE CITY, UT 84101-1213
(801) 703-4419
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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