Clark, Logan S

Clark, Logan S is an individual health care provider with primary practice located at 8211 W 3500 S , Magna UT 84044-1851. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Logan S can be contacted via phone (801) 250-9638.

Contact Information

Primary practice address
8211 W 3500 S Magna UT 84044-1851
Phone: (801) 250-9638
Fax: (801) 250-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5262016-1206 Utah

Profile Details

NPI number 1154593275
LBN Legal business name Clark, Logan S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Mar 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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