Individual
CURTIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
4063 W 12600 S # SABS, RIVERTON, UT 84096-7302
(801) 935-8180
(801) 931-2307
Mailing address
4063 W 12600 S # SABS, RIVERTON, UT 84096-7302
(801) 935-8180
(801) 931-2307
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5609506-4405
UT
Other
Enumeration date
10/22/2014
Last updated
12/05/2024
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