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1689692071
ROBERT BRENT CLARK
PAYSON, UT
NPI
1689692071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 165559-1205)
Enumeration Date
2006-07-17
Last Update Date
2023-11-27
Business Address
ROBERT BRENT CLARK MD
97 S. PROFESSIONAL WAY
PAYSON, UT 84651
Phone number: 801-465-4896
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Mailing Address
ROBERT BRENT CLARK MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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