Provider Demographics
NPI:1649478512
Name:CLEMENTS, SCOTT ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ANDREW
Last Name:CLEMENTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:81 N MARIO CAPECCHI DR
Mailing Address - Street 2:ECCLES OUTPATIENT BUILDING
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84113-1125
Mailing Address - Country:US
Mailing Address - Phone:801-213-3599
Mailing Address - Fax:801-587-7539
Practice Address - Street 1:81 N MARIO CAPECCHI DR
Practice Address - Street 2:ECCLES OUTPATIENT BUILDING
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1125
Practice Address - Country:US
Practice Address - Phone:801-213-3599
Practice Address - Fax:801-587-7539
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2021-11-12
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Provider Licenses
StateLicense IDTaxonomies
UT8575297-12052080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology