John M Clark, MD - Pediatrics in Ogden, UT

John M Clark, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Ogden, Utah. John M Clark is licensed to practice in Utah (license number 1578301205) and his current practice location is 4401 Harrison Blvd, Ogden, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 387-4300.

NPI number for John M Clark is 1215940333 and his current mailing address is Po Box 27128, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215940333.

Contact Information

John M Clark, MD
4401 Harrison Blvd,
Ogden, UT 84403-3195
(801) 387-4300
Not Available

Map and Direction




Physician's Profile

Full NameJohn M Clark
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4401 Harrison Blvd, Ogden, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215940333
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 05/03/2010

Medical Identifiers

Medical identifiers for John M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215940333NPI-NPPES
157830-1205OtherUTPROFESSIONAL STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 1578301205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John M Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John M Clark, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 387-4300
John M Clark, MD
4401 Harrison Blvd,
Ogden, UT 84403-3195

Ph: (801) 387-4300

Reviews and Comments


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