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Contact Information

CLINT W ALLRED, MD
9850 W ST LUKES DR STE 180
NAMPA, ID83687-7912
 Phone: 208-322-1680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for CLINT W ALLRED · (Male)

NPI # 1609190172
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2010
Last updated 07/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35120055
  • UT License # 8972456-1205
  • OH Medicaid PENDING
Hospital affiliation(s)
  • EVANSTON REGIONAL HOSPITAL - (Acute Care)
    190 ARROWHEAD DR
    EVANSTON, WY 82930
  • MEMORIAL HOSPITAL SWEETWATER COUNTY - (Acute Care)
    1200 COLLEGE DRIVE
    ROCK SPRINGS, WY 82901
  • MOUNTAIN WEST MEDICAL CENTER - (Acute Care)
    2055 NORTH MAIN STREET
    TOOELE, UT 84074
  • STAR VALLEY MEDICAL CENTER - (Critical Access)
    901 ADAMS STREET
    AFTON, WY 83110
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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