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Individual

CARSON THOMAS CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4403 HARRISON BLVD STE 700A, OGDEN, UT 84403-3295
(801) 726-2900
Mailing address
59 E 5600 S, OGDEN, UT 84405-6935
(801) 726-2900

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/28/2025
Last updated
03/28/2025
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