Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 6888037-1205 | UT |
NPI | 1053511584 |
---|---|
Provider Name | Dr. Rebekah Hewett Clifford |
First Address | Layton, UT 84041-0337 |
Second Address | Washington, DC 20307-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 01/06/2016 |