| Mrs Sudabeh Clark, PA-C | |
|
8275 S Supernal Way, Cottonwood Heights, UT 84121-6023 | |
| (310) 963-9404 | |
| Not Available |
| Full Name | Mrs Sudabeh Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 8275 S Supernal Way, Cottonwood Heights, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871790725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11172710-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | PA 19540 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sudabeh Clark, PA-C 8275 S Supernal Way, Cottonwood Heights, UT 84121-6023 Ph: (310) 963-9404 | Mrs Sudabeh Clark, PA-C 8275 S Supernal Way, Cottonwood Heights, UT 84121-6023 Ph: (310) 963-9404 |
Riley Pyne Warner, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 6750 S Highland Dr, Cottonwood Heights, UT 84121 Phone: 801-685-7246 | |
Mr. Dino Sokocevic, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6750 S Hightland Dr, Ste 100, Cottonwood Heights, UT 84121 Phone: 801-685-7246 Fax: 801-747-5487 | |
Kaylyn Renee Cooper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6750 S Highland Dr, Cottonwood Heights, UT 84121 Phone: 801-747-2371 | |
Alan Zinger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2599 E Chalet Cir, Cottonwood Heights, UT 84093 Phone: 801-300-2401 | |
Kathryn Silva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1143 E 6720 S, Apt #22, Cottonwood Heights, UT 84121 Phone: 717-422-7086 | |
Megan Delilah Correa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6686 S Highland Dr, Cottonwood Heights, UT 84121 Phone: 385-425-0908 | |
Rachael Marie Gordon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 6750 S Highland Dr Ste 100, Cottonwood Heights, UT 84121 Phone: 801-685-7246 |