Individual
MR. MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1993 ERRECART BLVD, ELKO, NV 89801-8334
(775) 753-1049
(775) 777-8494
Mailing address
317 E 100 N, PRICE, UT 84501-2504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7198090-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
812262
UT
Other
Enumeration date
05/11/2017
Last updated
10/29/2024
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