ELLEN P. CLARK MD
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1154061711- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT, 84112
- Phone
- (801) 581-2121
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Internal Medicine, Gastroenterology
Primary License: UT #14211395-1205