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Nicole Clark, MD — NPI 1881176410, Salt Lake City, UT | NPI Central

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NPI 1881176410

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Nicole Clark, MD

NPI 1881176410 · Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT

Provider details

NPI number: 1881176410
Entity type: Individual
Primary specialty: Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 13361586-1205 (UT)

Specialties & taxonomies

Pediatric Emergency Medicine (Pediatrics) PhysicianPrimary2080P0204XLicense 13361586-1205 (UT)
Allopathic & Osteopathic Physicians

Practice location

295 S Chipeta Way

Salt Lake City, UT 84108-1287

Phone: (801) 581-2121

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

295 S Chipeta Way

Salt Lake City, UT 84108-1287

Additional practice locations (1)

3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-2053

Registry dates

Enumerated: 2018-08-30
Last updated: 2026-05-28
Certified: 2026-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.