CLEAN CLINIC NPI 1811582497

NPI Information

CLEAN CLINIC is a corporate health clinic center in South Jordan, UT. CLEAN CLINIC NPI is 1811582497. The provider is registered as an organization entity type.

The provider's business location address is:

10421 S JORDAN GTWY STE 600
SOUTH JORDAN, UT
ZIP 84095-902
Phone: (801) 721-2491

The provider's authorized official is Michael E Webb .
The authorized official title is Chief Operating Officer and has the following contact phone number (801) 721-2491.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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