Individual
JEFFREY PAUL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 N 1180 E, OREM, UT 84097-5467
(801) 225-2474
Mailing address
652 N 1180 E, OREM, UT 84097-5467
(801) 225-2474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
178661
UT
Other
Enumeration date
04/02/2007
Last updated
03/29/2026
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