Organization
CLAYTON BASS MD FACEP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSI JENKINS (BILLING MANAGER)
(801) 475-7100
Entity
Organization
Contact information
Practice address
434 E 5350 S, OGDEN, UT 84405-6931
(801) 475-7100
(801) 475-7101
Mailing address
434 E 5350 S, SUITE B, OGDEN, UT 84405-6931
(801) 475-7100
(801) 475-7101
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
6068769-1205
UT
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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