IndividualActive
Terry Clark, MD
NPI 1548403678 · Surgery Physician · Park City, UT
Provider details
- NPI number
- 1548403678
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2480 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4976 E Meadows Dr
Park City, UT 84098-5921
Phone: (435) 602-9767
Fax: (413) 683-9923
Street-level locationGet directions
Mailing address
Po Box 982255
Park City, UT 84098-2255
Registry dates
- Enumerated
- 2009-04-20
- Last updated
- 2009-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.