Derrel W Clarke, MD

NPI #1902812829 in Logan, Utah

Provider Information

NPI Number: 1902812829
Entity Type: Individual
Name: Derrel W Clarke, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 31, 2006
Last Updated: Oct 14, 2008

Practice Location

Address: 1350 N 500 E
City: Logan
State: Utah
ZIP Code: 84341-2400
Phone: (435) 792-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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