Individual provider · Type 1 NPI

Chad Jeremy Clark, DO

Obstetrics & Gynecology Physician · Park City, UT

NPI number 1346339496 Active

Practice location

900 Round Valley Dr, Suite 200
Park City, UT 84060-7552

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X46699 (CO)
Obstetrics & Gynecology Physician 207V00000XDOS994 (HI)
Obstetrics & Gynecology Physician Primary 207V00000X8984876-1204 (UT)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1346339496

Chad Jeremy Clark, DO's National Provider Identifier is 1346339496, issued on Oct 12, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Park City, UT. The record was last updated on Apr 20, 2023.