Willis K Clyde in Heber City - Specialist

Willis K Clyde - NPI 1033293865

Willis K Clyde is a Specialist in Heber City, Utah. Willis K Clyde practices all healthcare services and medical treatments related to Specialist. The NPI Number for Willis K Clyde is 1033293865. The last update date is 2013-04-23.

Willis K Clyde's current location address is Po Box 13, Heber City, Utah. You can contact this provider via phone number 4356540804 and fax number 4356543314. The mailing address for Willis K Clyde is Po Box 13, Heber City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Willis K Clyde
Address Po Box 13, Heber City, Utah
Phone Number 4356540804
Fax Number 4356543314
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1033293865
Provider Enumeration Date 2006-10-25
Last Updated Date 2013-04-23

Provider Mailing Address Detail

Address Po Box 13
City Heber City
State Utah (UT)
Post Code 840320013
Phone Number 4356540804
Fax Number 4356543314

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 117343-2401
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Willis K Clyde

What is the unique provider identifier assigned to Willis K Clyde?

The Willis K Clyde has been issued the NPI (National Provider Identifier) 1033293865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Willis K Clyde's facilities are geographically located?

The facilities of Willis K Clyde are physically situated at the following location: Po Box 13, Heber City, UT, 840320013.

What is Willis K Clyde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Willis K Clyde is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033293865 to Willis K Clyde?

The Centers for Medicare & Medicaid Services originally issued the 1033293865 to Willis K Clyde on 2006-10-25.

As of what date was the information regarding Willis K Clyde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Willis K Clyde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-23.

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