Jill E Clark Md Pc

LBN: Jill E Clark Md Pc
Jill E Clark Md Pc is an health care organization with primary practice located at 1220 E 3900 S Ste 4I, Salt Lake City UT 84124-1377. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Jill E Clark Md Pc can be contacted via phone (801) 263-1621, or through Clark, Jill E via phone (801) 263-1621.

Contact Information

Primary practice address
1220 E 3900 S Ste 4I Salt Lake City UT 84124-1377
Phone: (801) 263-1621
Fax: (801) 263-1647
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jill E Doctor of Medicine (MD)
Phone: (801) 263-1621

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 73799221205 Utah

Profile Details

NPI number 1922339373
LBN Legal business name Jill E Clark Md Pc
DBA Doing business as
Authorized official Clark, Jill E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Jan 26th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922339373 NPPES
Utah Other 10281976 OWNERS DOB

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