Individual
JORDAN ALEXANDER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-1000
Mailing address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9903537-2401
UT
Other
Enumeration date
03/05/2018
Last updated
08/20/2019
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