Shelton, Clough

Shelton, Clough is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Shelton, Clough can be contacted via phone (801) 588-2700.

Contact Information

Primary practice address
100 N Medical Dr Salt Lake City UT 84113-1103
Phone: (801) 588-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 267419-1205 Utah

Profile Details

NPI number 1891885414
LBN Legal business name Shelton, Clough
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891885414 NPPES
Idaho MEDICAID 003084600
Idaho Other 040006913

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