NICOLE CLARK MD
Individual Provider (NPI-1)
Active
Pediatrics, Pediatric Emergency Medicine
Provider Information
- NPI Number
1881176410- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 295 S CHIPETA WAY, SALT LAKE CITY, UT, 841081287
- Phone
- (801) 581-2121
Specialties & Taxonomies
Pediatrics, Pediatric Emergency Medicine
Primary License: UT #13361586-1205