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Individual

MR. RICHARD DIX CLOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4403 HARRISON BLVD STE 4400, OGDEN, UT 84403-3290
(801) 387-4550
(801) 387-4565
Mailing address
4403 HARRISON BLVD STE 4400, OGDEN, UT 84403-3290
(801) 387-4550
(801) 387-4565

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4960478-1206
UT

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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