Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAYNE ELIZABETH CLARK, M.D.
ActivePhysical Medicine & Rehabilitation · HOLLADAY, UT
Registration Details
- NPI Number
- 1295735728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2005 (20.777181018768 yrs)
- Last Updated
- Jul 8, 2007
- License
-
165700-1205 (UT)
Practice Information
- Address
-
2180 E 4500 SSUITE #185HOLLADAY, UT, 841174434Browse UT providers · Browse ZIP 84117
- Phone
- 8012726972
- Fax
- 8012726953
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in HOLLADAY, UT
| Name | Credential | NPI |
|---|---|---|
| ANDREW WADE PHIPPEN | — | 1083069025 |
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.