Desiree Deon Clark, PA-C - Physician Assistant in Sandy, UT

Desiree Deon Clark, PA-C is a Physician Assistant based in Sandy, Utah. Desiree Deon Clark is licensed to practice in Utah (license number 9507169-1206) and her current practice location is 9600 S 1300 E Ste 240, Sandy, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 965-3600.

NPI number for Desiree Deon Clark is 1144861451 and her current mailing address is 7181 S Campus View Dr, West Jordan, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144861451.

Contact Information

Desiree Deon Clark, PA-C
9600 S 1300 E Ste 240,
Sandy, UT 84094-3783
(801) 965-3600
Not Available



Provider's Profile

Full NameDesiree Deon Clark
GenderFemale
SpecialityPhysician Assistant
Location9600 S 1300 E Ste 240, Sandy, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144861451
  • Provider Enumeration Date: 10/08/2019
  • Last Update Date: 10/08/2019

Medical Identifiers

Medical identifiers for Desiree Deon Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144861451NPI-NPPES
9507169-1206OtherUTSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9507169-1206 (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. Desiree Deon 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
Desiree Deon Clark, PA-C
7181 S Campus View Dr,
West Jordan, UT 84084-4312

Ph: (801) 965-3505
Desiree Deon Clark, PA-C
9600 S 1300 E Ste 240,
Sandy, UT 84094-3783

Ph: (801) 965-3600

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Physician Assistant Nurses in Sandy, UT

Wei Ting Chao,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 385 W 9000 S, Sandy, UT 84070
Phone: 801-562-5200    
Bryan A Clark, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9844 S 1300 E, Ste 275, Sandy, UT 84094
Phone: 801-571-7061    Fax: 801-571-9277
Megan Lancaster, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7998 S 1300 E, Sandy, UT 84094
Phone: 801-255-2000    Fax: 801-325-7185
Mr. Gordon Lynn Day, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9665 S 1835 E, Sandy, UT 84092
Phone: 801-879-3331    Fax: 801-576-4285
Tyler Williamson, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 580 E 9400 S, 103, Sandy, UT 84070
Phone: 225-939-8180    
Travis Cook,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9450 S 1300 E, 120, Sandy, UT 84094
Phone: 801-501-6150    

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