Individual
CLINTON TERRY GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 E 3900 S, MILLCREEK, UT 84124-1300
(801) 268-7111
Mailing address
1119 W 2500 S, SYRACUSE, UT 84075-8622
(424) 242-4713
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
14153666-3102
UT
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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