Jerry S Clark, D.C.

NPI #1114082872 in Provo, Utah

Provider Information

NPI Number: 1114082872
Entity Type: Individual
Name: Jerry S Clark, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 23, 2006
Last Updated: Nov 1, 2016

Practice Location

Address: 3325 N UNIVERSITY AVE STE 125
City: Provo
State: Utah
ZIP Code: 84604-6615
Phone: (801) 374-2774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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