Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill E Clark MD PC

Organization Colon & Rectal Surgery Physician · NPI 1922339373

Jill E Clark MD PC is a Colon & Rectal Surgery Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1220 E 3900 S Ste 4I
Salt Lake City, UT 84124-1377
Phone: (801) 263-1621
Fax: (801) 263-1647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 73799221205 (UT)

Record details

NPI number1922339373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Clark — President · (801) 263-1621
NPI enumeratedJanuary 26, 2010
Last updated in NPPESJanuary 26, 2010
Mailing address1220 E 3900 S, Ste 4i, Salt Lake City, UT 84124-1377

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