Individual
CLARK THORPE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD, PROVO, UT 84604-3311
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
851729491205
UT
Other
Enumeration date
07/31/2006
Last updated
07/14/2022
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