Organization
UNIVERSITY OF UTAH ADULT SERVICES
Active
Parent organization
UNIVERSITY OF UTAH ADULT SERVICES
Other names
Elko, Interventional Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
EDWARD CLARK MD (DEPARTMENT CHAIR)
(801) 587-6336
Entity
Organization
Contact information
Practice address
976 MOUNTIAN CITY HWY, A PLUS TOTAL CARE, ELKO, NV 89801-2728
(775) 738-5151
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
05/19/2020
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