Individual provider · Type 1 NPI

Logan S. Clark, PA-C

Physician Assistant · Magna, UT

NPI number 1154593275 Active

Practice location

8211 W 3500 S
Magna, UT 84044-1851

Call (801) 250-9638 Map

Fax (801) 250-3204

Mailing address

3336 Pioneer Pkwy, Suite 201
West Valley, UT 84120-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5262016-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154593275

Logan S. Clark, PA-C's National Provider Identifier is 1154593275, issued on Mar 28, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Magna, UT. The record was last updated on Mar 28, 2008.