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Organization
KEITH J. CLAYTON, M.D., P.C.
Active
Organization
KEITH J. CLAYTON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY LYNNE ORD (OFFICE MANAGER)
(801) 377-4800
Entity
Organization
Contact information
Practice address
1675 N FREEDOM BLVD, STE 9C, PROVO, UT 84604
(801) 377-4800
(801) 377-4041
Mailing address
1675 N FREEDOM BLVD, STE 9C, PROVO, UT 84604
(801) 377-4800
(801) 377-4041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
152622-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550480776008
—
UT
Enumeration date
07/22/2011
Last updated
07/22/2011
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