Autumn Clegg

NPI #1255059440 in Pocatello, Idaho

Provider Information

NPI Number: 1255059440
Entity Type: Individual
Name: Autumn Clegg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 15, 2022
Last Updated: Aug 14, 2024

Practice Location

Address: 921 S 8TH AVE STOP 8253
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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