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MASON CLARK MD
NPI 1194666479
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since April 02, 2026
30 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-2417 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mason Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON CLARK MD (NPI 1194666479) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1194666479
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON CLARKCredential: MD
Location Address30 S MARIO CAPECCHI DRSalt Lake City, UT 84112-5888
Mailing Address30 S Mario Capecchi DrSalt Lake City, UT 84112-5888 · (801) 581-2417
Phone(801) 581-2417
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1194666479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 S MARIO CAPECCHI DR, Salt Lake City, UT 84112
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE SARAH CAYER MD
Student in an Organized Health Care Education/Training Program
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2417
BENJAMIN JON LASOTA
Student in an Organized Health Care Education/Training Program
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
MR. MATTHEW STEPHEN LIVERSEDGE MD
Student in an Organized Health Care Education/Training Program
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899
IRENE ZILBERSHTEYN NP-C
Nurse Practitioner (Family)
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-3098
ROBERT MORRISSET
Student in an Organized Health Care Education/Training Program
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2417
BRANDON JAMES BURGER DO
Student in an Organized Health Care Education/Training Program
30 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Clark's NPI number?

The NPI number for Mason Clark is 1194666479. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Mason Clark located?

Mason Clark practices at 30 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2417.

What is Mason Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mason Clark was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.