Desiree Deon Clark, PA-C

NPI #1144861451 in Sandy, Utah

Provider Information

NPI Number: 1144861451
Entity Type: Individual
Name: Desiree Deon Clark, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 8, 2019
Last Updated: Oct 8, 2019

Practice Location

Address: 9600 S 1300 E STE 240
City: Sandy
State: Utah
ZIP Code: 84094-3783
Phone: (801) 965-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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