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1265540009
BRIAN A CLEMENTS
SALEM, UT
NPI
1265540009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 49922691204)
Enumeration Date
2006-08-29
Last Update Date
2023-11-27
Business Address
BRIAN A CLEMENTS DO
555 W SR 164
SALEM, UT 84653
Phone number: 801-465-4813
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Mailing Address
BRIAN A CLEMENTS DO
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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