Physician Assistant
Mrs. SUDABEH CLARK PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1871790725 · enumerated 2007-07-02 · record updated 2022-12-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 8275 S SUPERNAL WAY, COTTONWOOD HEIGHTS, UT, 84121-6023 (310) 963-9404 Google Maps Apple Maps OpenStreetMap
- Mailing address 8275 S SUPERNAL WAY, COTTONWOOD HEIGHTS, UT, 84121-6023 (310) 963-9404 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 11172710-1206 UT
- Physician Assistant 363A00000X · Primary · License PA 19540 CA
In this directory
Locations and evidence
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Practice location
COTTONWOOD HEIGHTS, UT, 841216023
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.