Individual
TENNILLE CLOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1159 E 200 N, STE 250, AMERICAN FORK, UT 84003-2028
(801) 855-2980
Mailing address
1159 E 200 N, STE 250, AMERICAN FORK, UT 84003-2028
(801) 855-2980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125-048721
IL
Other
Enumeration date
05/01/2007
Last updated
01/11/2011
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