Individual
CLINTON SHERRILL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1157 N 300 W, PROVO, UT 84604-6124
(801) 357-1200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5951888-1206
UT
363A00000X
Physician Assistant
Primary
5951888-1206
UT
Other
Enumeration date
03/22/2018
Last updated
04/06/2026
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