Whalio Doctors

NPI 1023253754

Tyson Anderson Cluff, PAC

Practitioner Physician Assistant Logan, UT

Practice location

Address
1350 N 500 E, Logan, UT 84341-2400
Phone
(435) 716-2800
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8256806-1206 (UT)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-784 (ID)

Registry record

NPI
1023253754
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Dec 2008
Record last updated
12 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.