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Individual

FRANCIS J CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3584 W 9000 S, SUITE 301, WEST JORDAN, UT 84088-5711
(801) 255-8633
(801) 569-8335
Mailing address
3584 W 9000 S, STE 301, WEST JORDAN, UT 84088-5710
(801) 255-8633
(801) 569-8335

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
105275-0507
UT
213ES0000X
Sports Medicine Podiatrist
105275-0507
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
105275-0507
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480035147
MEDICARE RAILROAD
UT
Enumeration date
10/05/2006
Last updated
10/22/2013
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