Individual
CLARKE LUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 S DAVIS BLVD, BOUNTIFUL, UT 84010-5305
(801) 295-1365
Mailing address
1973 S DAVIS BLVD, BOUNTIFUL, UT 84010-5305
(801) 295-1365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2499
ID
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2016
Last updated
06/06/2023
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