| Doctor Name: | STEPHEN MATTHEW CLEMENTS |
| NPI Number: | 1003869421 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C. |
| License Number: | 5972740-8906 |
| Business Practice Address: | 5810 S 300 E Suite300 Murray, UT - 841076178 |
| Business Phone Number: | 8013142225 |
| Business Fax Number: | 8013142345 |
| Mailing Address: | 5810 S 300 E, Suite300 MURRAY |
| State: | UT |
| Postal Code: | 841076178 |
| Phone Number: | 8013142225 |
| Fax Number: | 8013142345 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5972740-8906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |