JERRY S CLARK

PROVO, UT
NPI1114082872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  166844-1202)
Enumeration Date2006-12-23
Last Update Date2016-11-01
Business Address
-- JERRY S CLARK D.C.
3325 N UNIVERSITY AVE STE 125
PROVO, UT 84604-6615
Phone number: 801-374-2774
Mailing Address
-- JERRY S CLARK D.C.
3325 N UNIVERSITY AVE STE 125
PROVO, UT 84604-6615
Phone number: 801-374-2774