EDMUND JUSTIN CLARK

SALT LAKE CITY, UT
NPI1316046816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL  ME105344)
Enumeration Date2006-09-21
Last Update Date2020-03-16
Business Address
Dr. EDMUND JUSTIN CLARK M.D.
550 FOOTHILL BLVD STE 100
SALT LAKE CITY, UT 84113-1106
Phone number: 352-215-4391
Mailing Address
Dr. EDMUND JUSTIN CLARK M.D.
1535 ALEXANDRIA PL N
JACKSONVILLE, FL 32207-4049
Phone number: 352-215-4391