JEFFREY S MCCLELLAN, MD, Diagnostic Radiology PROVO, UT

Contact Information

JEFFREY S MCCLELLAN, MD

1034 N 500 W
PROVO, UT 84604-3380

Phone: 801-373-7850
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for JEFFREY S MCCLELLAN · (Male)

NPI Number	`1518910108`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/18/2006
Last updated	10/15/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	UT License # 261367-1205 UT Medicaid 002331009 UT Other 226527 DMBA UT Other 870284448MC1 EMIA UT Other 107006909113 IHC
Hospital affiliation(s)	AMERICAN FORK HOSPITAL - (Acute Care) 170 NORTH 1100 EAST AMERICAN FORK, UT 84003 DIXIE REGIONAL MEDICAL CENTER - (Acute Care) 1380 EAST MEDICAL CENTER DRIVE ST GEORGE, UT 84790 OREM COMMUNITY HOSPITAL - (Acute Care) 331 NORTH 400 WEST OREM, UT 84057 SANPETE VALLEY HOSPITAL - CAH - (Critical Access) 1100 SOUTH MEDICAL DRIVE MOUNT PLEASANT, UT 84647 UTAH VALLEY REGIONAL MEDICAL CENTER - (Acute Care) 1034 NORTH 500 WEST PROVO, UT 84604

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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JEFFREY S MCCLELLAN, MD – NPI #1518910108Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for JEFFREY S MCCLELLAN · (Male)

Reviews for JEFFREY S MCCLELLAN

JEFFREY S MCCLELLAN, MD – NPI #1518910108
Diagnostic Radiology