CLEAN CLINIC WYOMING – Anesthesiology Physician, NPI 1548909153

CLEAN CLINIC WYOMING is a healthcare provider. based in Sandy, Utah. specializing in Anesthesiology Physician. The NPI Number for CLEAN CLINIC WYOMING is 1548909153

Main info

Organization
Name
CLEAN CLINIC WYOMING
NPI
1548909153
Phone
(801) 946-4045
Address
63 E 11400 S # 275
Authorized Official
MR. LORENCE A HARMER CEO
Enumeration Date
1 June 2022
Last Update Date
17 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for CLEAN CLINIC WYOMING

  • 63 E 11400 S # 275

    SANDY, UT 840706705

    Phone: (801) 946-4045

    Type: Mailing

  • 1918 THOMES AVE

    CHEYENNE, WY 820013527

    Phone: (928) 242-9929

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84070)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CLEAN CLINIC WYOMING?
CLEAN CLINIC WYOMING — NPI 1548909153 — is the standard way to identify this listing.
Is CLEAN CLINIC WYOMING listed as active for patients and plans?
The listing shows CLEAN CLINIC WYOMING as active in the NPI system.
What is CLEAN CLINIC WYOMING best known for clinically?
Directory data describes CLEAN CLINIC WYOMING with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CLEAN CLINIC WYOMING?
CLEAN CLINIC WYOMING's geographic hint is Sandy, Utah in our summary view.
Why does CLEAN CLINIC WYOMING have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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