Most Relevant Information
Provider Data
| NPI Number: | 1003636531 |
| Provider Name: | NICHOLAS DAVID MCCLEERY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
117 W 400 S
SALT LAKE CITY
UT
841011916
Practice Location Phone/Fax
| Phone: | 8014284257 |
| Fax: |
Provider Mailing Location
117 W 400 S
SALT LAKE CITY
UT
841011916
Provider Mailing Phone/Fax
| Phone: | 8014284257 |
| Fax: |