IndividualActive
Samuel Clough
NPI 1497371959 · Attendant Care Provider · Provo, UT
Provider details
- NPI number
- 1497371959
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Approximate (ZIP-level) locationGet directions
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2020-06-22
- Certified
- 2020-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.