AUTUMN CLEGG

POCATELLO, ID
NPI1255059440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-08-15
Last Update Date2024-08-14
Business Address
AUTUMN CLEGG
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
Mailing Address
AUTUMN CLEGG
743 ROBIN ST
SMITHFIELD, UT 84335-1001
Phone number: 435-754-5542