Holly B Clark
Medical Specialty
Professional ID
- NPI: 1376639047
- PECOS ID: 7214921170
- Enrollment ID: I20040413000966
- Credential(MD, DO, DPM): MD
- Medical School: University Of Arizona College Of Medicine
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 460047
- Business Name (LBN)1: St Marks Hospital
- Hospital CCN2: 460006
- Business Name (LBN)2: Lds Hospital
- Hospital CCN3: 460060
- Business Name (LBN)3: Lone Peak Hospital
Medical Practices
- Organization Name: Utah Gastroenterology Pc
- Group Practice ID assigned by PECOS: 9830174150
- Number of Group Practice member: 29
Location
- Address1: 1250 E 3900 S
- Address2: Suite 360
- City: Salt Lake City
- State: Utah
- Zip Code: 84124
- Phone Number: (801)263-3041
Location
- Address1: 6360 S 3000 E
- Address2: Suite 310
- City: Salt Lake City
- State: Utah
- Zip Code: 84121
- Phone Number: (801)944-3188
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes