IndividualActive
Beth Clark
NPI 1285452979 · State or Local Public Health Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1285452979
- Entity type
- Individual
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
- Public Health or Welfare Agency251K00000X
Agencies
Practice location
195 N 1950 W
Salt Lake City, UT 84116-3100
Phone: (435) 590-0503
Approximate (ZIP-level) locationGet directions
Mailing address
195 N 1950 W
Salt Lake City, UT 84116-3100
Additional practice locations (1)
- 66 N 1050 WCedar City, UT 84720-2338Phone: (435) 590-0503
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.