Individual
KYLE NELSON CLONTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1255 W BASELINE RD STE 138, MESA, AZ 85202-5821
(480) 281-2930
(480) 209-1660
Mailing address
1255 W BASELINE RD STE 138, MESA, AZ 85202-5821
(480) 281-2930
(480) 209-1660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16058
AZ
Other
Enumeration date
11/02/2010
Last updated
09/08/2016
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