ROBERT BRENT CLARK

PAYSON, UT
NPI1689692071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  165559-1205)
Enumeration Date2006-07-17
Last Update Date2023-11-27
Business Address
ROBERT BRENT CLARK MD
97 S. PROFESSIONAL WAY
PAYSON, UT 84651
Phone number: 801-465-4896
Mailing Address
ROBERT BRENT CLARK MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225