Individual
TERRY PAUL CLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-1100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
1590451205
UT
Other
Enumeration date
07/15/2006
Last updated
11/17/2010
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