Individual
SCOTT A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
24 S 1100 E STE 210, SALT LAKE CITY, UT 84102
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 540610, N SALT LAKE, UT 84054-0610
(801) 451-6060
(801) 296-0218
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
106339-0501
UT
Other
Enumeration date
01/10/2006
Last updated
02/19/2020
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