Individual
BRENT CLAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3345 MERLIN DR STE 200, IDAHO FALLS, ID 83404-7489
(208) 529-1514
(208) 529-3170
Mailing address
3345 MERLIN DR STE 200, IDAHO FALLS, ID 83404-7489
(208) 529-1514
(208) 529-3170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3201
ID
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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