| Organization Name: | CLEMENT HOLDINGS, LLC |
| NPI Number: | 1013374388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN B CLEMENT (OWNER) |
| Mailing Address: | 1515 E Florence Blvd Suite 105 Casa Grande |
| State: | AZ US |
| Postal Code: | 851225334 |
| Phone Number: | 5208362962 |
| Fax Number: | 5208368343 |
| NPI Enumeration Date: | 01/18/2016 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |