Individual provider · Type 1 NPI

Sudabeh Clark, PA-C

Physician Assistant · Cottonwood Heights, UT

NPI number 1871790725 Active

Practice location

8275 S Supernal Way
Cottonwood Heights, UT 84121-6023

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11172710-1206 (UT)
Physician Assistant Primary 363A00000XPA 19540 (CA)

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 1871790725

Sudabeh Clark, PA-C's National Provider Identifier is 1871790725, issued on Jul 2, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Dec 28, 2022.