Individual
DANIELLE MORGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5566
(801) 662-5571
Mailing address
1005 S 1500 E, SALT LAKE CITY, UT 84105-1640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
03/12/2020
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