| Doctor Name: | BRADLEY J CLARK |
| NPI Number: | 1649532466 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 9399538-1204 |
| Business Practice Address: | 3485 W 5200 S Roy, UT - 840679438 |
| Business Phone Number: | 8014753900 |
| Business Fax Number: | 8014753901 |
| Mailing Address: | 4650 Harrison Blvd, OGDEN |
| State: | UT |
| Postal Code: | 844034303 |
| Phone Number: | 8014753000 |
| Fax Number: | 8014753901 |
| NPI Enumeration Date: | 06/08/2012 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 9399538-1204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |