John M Clark
MD | Pediatric Neonatal-Perinatal Medicine | Male
John M Clark, MD is a Ogden, Utah based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of John M Clark is
4401 Harrison Blvd, Ogden, Utah - 84403-3195. He can be contacted on phone at
801-387-4300.
John M Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for John M Clark is
1215940333 which was assigned by NPPES on 14 Aug, 2006 and it was last updated on 03 May, 2010.
John M Clark license number is
1578301205 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Utah.
John M Clark is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
John M Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | John M Clark |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John M Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4401 Harrison Blvd
Ogden, UT, 84403-3195
United States |
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| Phone Number : | 801-387-4300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215940333 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Aug, 2006 |
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| Last Updated On : | 03 May, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John M Clark are as mentioned. Primary taxonomy code for John M Clark, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 1578301205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of John M Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 157830-1205 | Other | UT | PROFESSIONAL STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 27128
Salt Lake City, UT, 84127-0128
United States |
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| Phone Number : | 801-387-4300 |
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Business Location:
Patients can refer following map for directions to
John M Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.