Individual
STEVEN GLENN CLEMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 31ST AVE S STE 102, FARGO, ND 58104-4557
(701) 280-2033
(701) 232-5578
Mailing address
2226 HUALAPAI MOUNTAIN RD, STE 101, KINGMAN, AZ 86401-8374
(701) 280-2033
(701) 232-5578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29533
MN
207R00000X
Internal Medicine Physician
Primary
60970
AZ
207R00000X
Internal Medicine Physician
9791
ND
Other
Enumeration date
07/18/2006
Last updated
02/09/2021
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