Clark, Steven L
Clark, Steven L is an individual health care provider with primary practice located at 1140 E 3900 S Suite 390, Salt Lake City UT 84124-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Clark, Steven L can be contacted via phone (801) 743-4700.Contact Information
Primary practice address
1140 E 3900 S Suite 390
Salt Lake City UT 84124-1228
Phone: (801) 743-4700
Fax: (801) 743-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 172793-1205 | Utah |
Profile Details
| NPI number | 1255326633 |
|---|---|
| LBN Legal business name | Clark, Steven L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | May 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255326633 | NPPES |
| Idaho | Other | M-9194 | MEDICAL LICENSE |
| Idaho | Other | 172793-1205 | MEDICAL LICENSE |
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