Search › Arizona › 347C00000X
Brent Clevenger
NPI 1710612155 · on the registry since 2022 · sole proprietor
Practice
- Address
- 287 W Spruce
Snowflake, AZ 85937 - Phone
- (520) 704-0937
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona