Provider Demographics
NPI:1972745073
Name:SHEFFIELD, CLINTON RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:RICHARD
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 W 4700 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-3457
Mailing Address - Country:US
Mailing Address - Phone:801-213-9200
Mailing Address - Fax:801-213-9202
Practice Address - Street 1:3730 W 4700 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-3457
Practice Address - Country:US
Practice Address - Phone:801-213-9200
Practice Address - Fax:801-213-9202
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8672903-1205208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics