JILL E CLARK MD PC NPI 1922339373

NPI Information

JILL E CLARK MD PC is a colon rectal surgery in Salt Lake City, UT. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. JILL E CLARK MD PC NPI is 1922339373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 E 3900 S
STE 4I
SALT LAKE CITY, UT
ZIP 84124-377
Phone: (801) 263-1621
Fax: (801) 263-1647

The provider's authorized official is Jill E Clark .
The authorized official title is President and has the following contact phone number (801) 263-1621.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 1/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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