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DERREL W CLARKE MD
NPI 1902812829
Pediatrics in Logan, UT

Active since July 31, 2006
1350 N 500 E, LOGAN, UT 84341(435) 792-1940(435) 792-1692 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrel W Clarke Md NPPES

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

DERREL W CLARKE MD (NPI 1902812829) is an individual pediatrics provider in Logan, Utah, licensed in Utah (1863221205) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902812829
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDERREL W CLARKECredential: MD
Location Address1350 N 500 ELogan, UT 84341-2400
Mailing Address1350 N 500 ELogan, UT 84341-2400 · (435) 792-1940 · Fax (435) 792-1692
Phone(435) 792-1940
Fax(435) 792-1692
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 14, 2008
✔ NPI 1902812829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 1863221205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1350 N 500 E, Logan, UT 84341
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Other Identifiers 1

Medicare PIN000064219UT

Other Providers at the Same Location NPPES 20

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

ERNEST BRETT HORSLEY DO
Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1920
GREGG ARTHUR MARSHALL MD
Surgery
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1950
IHC HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1521
MR. TYSON ANDERSON CLUFF PA-C
Physician Assistant
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2800
HAROLD VONK M.D.
Internal Medicine (Rheumatology)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1980
ROBERT M NASH MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
AGNIESZKA M SZPUNAR MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
ANDREW JAMES GOATES MD
Otolaryngology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 752-1693

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 Derrel Clarke's NPI number?

The NPI number for Derrel Clarke is 1902812829. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Derrel Clarke located?

Derrel Clarke practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 792-1940.

What is Derrel Clarke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Derrel Clarke was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.