Barry Alan Clanton PA C

NPI 1083837348 - Physician Assistant - 363A00000X

NPI Details
NPI 1083837348
Gender Male
Enumeration Date 04/11/2007
Last Updated 01/25/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
PROVO UT, 84604-4729, US
Phone (801) 375-2177
Fax (801) 375-2172
Business Location
2140 E 850 S
SPRINGVILLE UT, 84663-2989, US
Phone (850) 819-5033
Fax (801) 375-2172
Taxonomy Code 363A00000X
License State Florida
License Number PA9101507
Remove 1083837348 NPI Number

According to our database, Barry Alan Clanton PA C NPI is 1083837348, taxonomy code is 363A00000X and license number is PA9101507, license state is located at Florida. Barry Alan Clanton PA C physically located at 3152 N University Ave, Provo UT, 84604-4729. NPI Number Barry Alan Clanton PA C has the Individual type.

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1083837348 NPI number is provided on an as is basis without warranty of any kind. 1083837348 is maintained by the National Plan & Provider Enumeration System. The contents of Barry Alan Clanton PA C are for informational purposes only.