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

DR. TERRY K CLARK, MD

Active Sole Proprietor

General Surgery · PARK CITY, UT

Registration Details

NPI Number
1548403678
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2009 (17.046100766645 yrs)
Last Updated
Apr 20, 2009
License
2480 (AK)
Sole Proprietor
Yes

Practice Information

Address
4976 E MEADOWS DR
PARK CITY, UT, 840985921
Browse UT providers · Browse ZIP 84098
Phone
4356029767
Fax
4136839923
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in PARK CITY, UT

Name Credential NPI
DR. VANESSA MARIE HART MD 1366439127
DR. DANIELLE M. ADAMS MD 1699957886
KATHERINE ELIZABETH SMILEY 1396188819
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.