Individual
H CLARK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 EAST MEDICAL CENTER DRIVE, DIXIE REGIONAL MEDICAL CENTER, ST. GEORGE, UT 84790
(435) 251-1000
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
259933-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002089555
—
NV
01
—
107007176102
IHC
UT
05
—
118907700
—
WY
01
—
128603
DESERET MUTUAL
UT
05
—
140509001
—
AZ
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
50477
HEALTHY U
UT
01
—
71446
PEHP
UT
05
—
806731100
—
ID
01
—
870545614CLT
EDUCATORS MUTUAL
UT
01
—
PRA02639
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/16/2006
Last updated
08/28/2024
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