Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN S CLARK, PA-C
ActiveLOGAN S CLARK, PA-C is a Physician Assistant healthcare provider located in MAGNA, Utah. NPI 1154593275 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MAGNA, UT
Registration Details
- NPI Number
- 1154593275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2008 (18.341687997744 yrs)
- Last Updated
- Mar 28, 2008
- License
-
5262016-1206 (UT)
Practice Information
- Address
-
8211 W 3500 SMAGNA, UT, 840441851Browse UT providers · Browse ZIP 84044
- Phone
- 8012509638
- Fax
- 8012503204
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MAGNA, UT
| Name | Credential | NPI |
|---|---|---|
| KRISTINE HOLLY FROST | PA-C | 1093771446 |
| MARLIESE LOVELEI LLOYD | PAC | 1710918586 |
| JANEE GILLETTE | PA-C | 1669407979 |
| TATE ALAN JENSEN | PAC | 1285652867 |
| CHERYL MCGOVERN | PAC | 1962564807 |
| KEVIN MACFARLANE | PAC | 1922163401 |
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.