Individual provider · Type 1 NPI

Beth Ann Clark

State or Local Public Health Clinic/Center · Salt Lake City, UT

NPI number 1285452979 Active

Practice location

195 N 1950 W
Salt Lake City, UT 84116-3100

Call (435) 590-0503 Map

Other practice locations

  • 66 N 1050 W, Cedar City, UT 84720-2338 · (435) 590-0503

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
State or Local Public Health Clinic/Center Primary 261QP0905XNone listed

State or Local Public Health Clinic/Center: Definition to come...

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About NPI 1285452979

Beth Ann Clark's National Provider Identifier is 1285452979, issued on Oct 1, 2024. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 1, 2024.