Individual
MR. TYSON ANDERSON CLUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-2800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8256806-1206
UT
363AM0700X
Medical Physician Assistant
PA-784
ID
Other
Enumeration date
12/09/2008
Last updated
05/12/2017
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