Individual
DAMIEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 5R218, SALT LAKE CITY, UT 84132-2632
(801) 581-7818
Mailing address
30 N 1900 E RM 5R218, SALT LAKE CITY, UT 84132-0002
(801) 581-7818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13525693-1205
UT
208M00000X
Hospitalist Physician
Primary
13525693-1205
UT
Other
Enumeration date
03/27/2020
Last updated
03/04/2024
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