Individual
BRIAN A CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 W SR 164, SALEM, UT 84653
(801) 465-4813
(801) 812-5433
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49922691204
UT
Other
Enumeration date
08/29/2006
Last updated
11/27/2023
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