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1215940333
JOHN M CLARK
OGDEN, UT
NPI
1215940333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT 1578301205)
Enumeration Date
2006-08-14
Last Update Date
2010-05-03
Business Address
-- JOHN M CLARK MD
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-4300
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Mailing Address
-- JOHN M CLARK MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-4300
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