Clinton Edvalson, MS, LAT, ATC

NPI 1801930300 · on the registry since 2007

Practice

Address: 1034 N 500 W
Provo, UT 84604
Phone: (801) 314-4051
Organisation at this address: Kirk W Leininger
Tracy A Hill Md Pc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 454

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Also registered as: 2255A2300X
Licence states on file: NV, UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-23

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 Utah