Allred, Clint Will

Allred, Clint Will is an individual health care provider with primary practice located at 9850 W St Lukes Dr Ste 180 , Nampa ID 83687-7912. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Allred, Clint Will can be contacted via phone (208) 322-1680.

Contact Information

Primary practice address
9850 W St Lukes Dr Ste 180 Nampa ID 83687-7912
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8972456-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35120055 Ohio
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 8972456-1205 Utah

Profile Details

NPI number 1609190172
LBN Legal business name Allred, Clint Will
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2010
Last updated Jul 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609190172 NPPES
Ohio MEDICAID PENDING

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