Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN A CLARK, PA-C
ActiveBRYAN A CLARK, PA-C is a Surgical Physician Assistant healthcare provider located in SANDY, Utah. NPI 1093777047 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SANDY, UT
Registration Details
- NPI Number
- 1093777047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.351709676799 yrs)
- Last Updated
- Apr 22, 2016
- Licenses
-
3231151206 (UT)3231151206 (UT)
Practice Information
- Address
-
9844 S 1300 ESTE 275SANDY, UT, 840944692Browse UT providers · Browse ZIP 84094
- Phone
- 8015717061
- Fax
- 8015719277
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SANDY, UT
| Name | Credential | NPI |
|---|---|---|
| LESLIE MADORE | PA | 1649244120 |
| COLE MITCHELL | PA-C | 1285251371 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.