IndividualActive
Robert Clark
NPI 1003420415 · Community Health Worker · Layton, UT
Provider details
- NPI number
- 1003420415
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
934 S Main St
Layton, UT 84041-7135
Phone: (801) 336-1845
Approximate (ZIP-level) locationGet directions
Mailing address
934 S Main St
Layton, UT 84041-7135
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.