Organization · Type 2 NPI
Clanton Enterprises, Series LLC
Medical Physician Assistant · Provo, UT
NPI number
1023490091
Active
Practice location
75 S 200 E, Suite 202
Provo, UT 84606-3146
Fax (801) 375-2307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7417572-1206 (UT) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1023490091
Clanton Enterprises, Series LLC's National Provider Identifier is 1023490091, issued on Jun 25, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on Jun 25, 2015.