Individual
DR. JAY D CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 N 400 W, OREM, UT 84057-1909
(801) 224-6767
(801) 221-1052
Mailing address
175 N 400 W, OREM, UT 84057-1909
(801) 224-6767
(801) 221-1052
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
163679-8905
UT
Other
Enumeration date
10/05/2006
Last updated
03/07/2023
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