Individual
DALE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 SOUTH, NORTH SALT LAKE, UT 80800
(800) 222-6000
(800) 222-6011
Mailing address
317 UPLAND DR, TOOELE, UT 84074-2849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144567-1701
UT
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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