| Clark K Loftus, MD | |
|
620 Medical Dr, #100, Bountiful, UT 84010-5084 | |
| (801) 295-2888 | |
| (801) 295-0311 |
| Full Name | Clark K Loftus |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 620 Medical Dr, Bountiful, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285617928 | NPI | - | NPPES |
| 15287220 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 40502 (Colorado) | Secondary |
| 208000000X | Pediatrics | 248724-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clark K Loftus, MD 620 Medical Dr, #100, Bountiful, UT 84010-5084 Ph: (801) 295-2888 | Clark K Loftus, MD 620 Medical Dr, #100, Bountiful, UT 84010-5084 Ph: (801) 295-2888 |
Dr. Kathleen M Liou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 | |
Dr. Brenda M Ritson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6350 Fax: 801-294-1183 | |
Dr. Jonathan Milton Tew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 | |
Dr. Allison L Groebs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 | |
Dr. Douglas Brent Nielsen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1080 Fax: 801-292-8369 | |
Pamela J. Hildebrand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |