Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUDABEH CLARK, PA-C
Active Sole ProprietorMRS. SUDABEH CLARK, PA-C is a Physician Assistant healthcare provider located in COTTONWOOD HEIGHTS, Utah. NPI 1871790725 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COTTONWOOD HEIGHTS, UT
Registration Details
- NPI Number
- 1871790725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2007 (19.077271731331 yrs)
- Last Updated
- Dec 28, 2022
- Licenses
-
11172710-1206 (UT)PA 19540 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8275 S SUPERNAL WAYCOTTONWOOD HEIGHTS, UT, 841216023Browse UT providers · Browse ZIP 84121
- Phone
- 3109639404
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COTTONWOOD HEIGHTS, UT
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE BOULTER | PA-C | 1295970515 |
| FAUSTIN CHAD VIGIL | — | 1821502469 |
| MR. JACOB KEITH HOFFMANN | PA-C | 1811487622 |
| KAYLYN RENEE COOPER | PA-C | 1417430919 |
| MR. DINO SOKOCEVIC | PA | 1265057335 |
| RILEY PYNE WARNER | PHYSICIAN ASSISTANT | 1104434893 |
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.