DR. M.D. Holly Clark, NPI 1376639047
Gastroenterology Physician in Salt Lake City, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1376639047 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Holly Clark |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1250 E 3900 S, Suite 360, Salt Lake City, UT, US |
| Provider Mailing Address | 6360 S 3000 E, #220, Salt Lake City, UT, US, 841216923 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Gastroenterology Physician |
| Classification | |
| Group | |
| License No. | 4977163 |
| License State | UT |
| Description | An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 49771631200001 | UT | BLUE CROSS BLUE SHIELD | 01 |
| 49771631200001 | UT | HEALTHWISE | 01 |
| 49771631200001 | UT | VALUE CARE | 01 |
| 78498 | UT | PUBLIC EMPLOYEES | 01 |
| QM0000217387 | UT | ALTIUS | 01 |
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Damaris Villalobos Individual |
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Dylan Smart Individual |
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Alexis Suzanne Goodwin Individual |
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