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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHAD JEREMY CLARK, D.O.

Active

CHAD JEREMY CLARK, D.O. is a Obstetrics & Gynecology healthcare provider located in PARK CITY, Utah. NPI 1346339496 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · PARK CITY, UT

Registration Details

NPI Number
1346339496
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.842284092357 yrs)
Last Updated
Apr 20, 2023
Licenses
46699 (CO)
DOS994 (HI)
8984876-1204 (UT)

Practice Information

Address
900 ROUND VALLEY DR
SUITE 200
PARK CITY, UT, 840607552
Browse UT providers · Browse ZIP 84060
Phone
4356587400
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in PARK CITY, UT

Name Credential NPI
JEANNE M FALK MD 1588673974
MRS. ROBIN LYNN HOUPE MD 1285843607
DR. TANIA PATRICIA NISIMBLAT BODNAR M.D. 1750520201
DR. LAUREN ASHLEY WELLS MD 1851534374
DR. FELICIA R KATZ M.D. 1265744882
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.