Provider Demographics
NPI:1053335547
Name:CLEMENT, WILLIAM E (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:CLEMENT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S MOON RD
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85119-7536
Mailing Address - Country:US
Mailing Address - Phone:480-980-9773
Mailing Address - Fax:
Practice Address - Street 1:360 S IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5075
Practice Address - Country:US
Practice Address - Phone:804-980-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010153393OtherBLUE SHIELD
IDC4850OtherBLUE CROSS
IDC4850OtherBLUE CROSS
1670286Medicare ID - Type Unspecified