MRS. Sudabeh Clark, PA-C
NPI #1871790725 in Cottonwood Heights, Utah
Provider Information
- NPI Number
- 1871790725
- Entity Type
- Individual
- Name
- MRS. Sudabeh Clark, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 2, 2007
- Last Updated
- Dec 28, 2022
Practice Location
- Address
- 8275 S SUPERNAL WAY
- State
- Utah
- ZIP Code
- 84121-6023
- Phone
- (310) 963-9404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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