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1295741114
THOMAS H CLARK
PROVIDENCE, UT
NPI
1295741114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 6049303-1205)
Enumeration Date
2006-07-31
Last Update Date
2024-02-05
Business Address
THOMAS H CLARK MD
595 W 465 N
PROVIDENCE, UT 84332
Phone number: 385-238-3900
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Mailing Address
THOMAS H CLARK MD
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500
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