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1700865748
SCOTT A CLARK
SALT LAKE CITY, UT
NPI
1700865748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT 106339-0501)
Enumeration Date
2006-01-10
Last Update Date
2020-02-19
Business Address
SCOTT A CLARK DPM
24 S 1100 E STE 210
SALT LAKE CITY, UT 84102
Phone number: 801-505-5277
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Mailing Address
SCOTT A CLARK DPM
PO BOX 540610
N SALT LAKE, UT 84054-0610
Phone number: 801-451-6060
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