Provider Demographics
NPI:1992992952
Name:CLAWSON, TERRI LEE HOPKINS (DHSC, PA-C)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:LEE HOPKINS
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:DHSC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4638 W SERENDIPITY WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-7730
Mailing Address - Country:US
Mailing Address - Phone:385-424-5527
Mailing Address - Fax:385-360-1616
Practice Address - Street 1:3674 W SOUTH JORDAN PKWY STE 223
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-7159
Practice Address - Country:US
Practice Address - Phone:385-424-5527
Practice Address - Fax:385-360-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0756363A00000X
MP0069363A00000X
UT6731065-1206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant