Individual
CLIFTON HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Mailing address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11901151-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910000647785
—
OH
Enumeration date
03/25/2019
Last updated
08/21/2020
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