Individual
DR. MICHAEL SCOTT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
380 E MAIN ST, SUITE E, LEHI, UT 84043-2228
(801) 768-2939
(801) 768-2955
Mailing address
380 E MAIN ST, SUITE E, LEHI, UT 84043-2228
(801) 768-2939
(801) 768-2955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6204897-1202
UT
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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