NPI 1821592890 · live from the CMS NPI Registry
Clinton Sherrill Anderson, PA-C
Physician Assistant in Provo, UT. National Provider Identifier 1821592890, active.
NPI record
| NPI | 1821592890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1157 N 300 W, Provo, UT 84604 |
| Practice phone | 801-357-1200 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | March 22, 2018 |
| Last updated | April 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 5951888-1206 (UT) |
| Physician Assistant primary | 363A00000X | 5951888-1206 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.