Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sudabeh Clark, PA-C

Individual provider Physician Assistant · NPI 1871790725

Mrs. Sudabeh Clark, PA-C is a Physician Assistant in Cottonwood Heights, Utah. Practices as a sole proprietor. Licensed in California and Utah.

Licensed in
CA, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8275 S Supernal Way
Cottonwood Heights, UT 84121-6023
Phone: (310) 963-9404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 19540 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 11172710-1206 (UT)

Record details

NPI number1871790725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 2, 2007
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

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