Clanton Enterprises, Series LLC

NPI #1023490091 in Provo, Utah

Provider Information

NPI Number
1023490091
Entity Type
Organization
Organization Name
Clanton Enterprises, Series LLC
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Jun 25, 2015
Last Updated
Jun 25, 2015

Practice Location

Address
75 S 200 E
Address 2
SUITE 202
City
Provo
State
Utah
ZIP Code
84606-3146
Phone
(801) 375-2207

Authorized Official

Name
BARRY A CLANTON, P.A.
Title
OWNER/PHYSICIAN
Phone
(801) 375-2207

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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