Individual
BARRY ALAN CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
75 S 200 E STE 202, PROVO, UT 84606-3168
(801) 375-2207
Mailing address
2140 E 850 S, SPRINGVILLE, UT 84663-2989
(850) 819-5033
(801) 375-2172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101507
FL
Other
Enumeration date
04/11/2007
Last updated
10/28/2019
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