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Individual

CLARK WHITELEY SHEFFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1159 E 200 N, STE. 350, AMERICAN FORK, UT 84003-2022
(801) 756-4781
(801) 756-5091
Mailing address
3550 N UNIVERSITY AVE, STE 250, PROVO, UT 84604-6685
(801) 374-9625
(801) 373-7506

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
353117-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008084102
SELECT HEALTH PLAN
UT
01
346272
DMBA INS.
UT
01
49415
PEHP INS.
UT
01
766
U OF U HEALTHPLANS
UT
01
QM0000026679
ALTIUS
UT
Enumeration date
05/09/2006
Last updated
10/25/2012
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