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Active NPI 1215865589 Organization (Entity Type 2)

Benjamin Stclair Do Llc

Allergy & Immunology • Provo, UT

About Benjamin Stclair Do Llc NPI 1215865589 Summary

Benjamin Stclair Do Llc is a verified healthcare organization specializing in Allergy & Immunology operating in Provo, UT. Located at 745 N 500 W STE 200, this facility provides patient care and medical services under National Provider Identifier (NPI) 1215865589.

Administrative operations and authorized compliance are overseen by Benjamin St Clair (Doctor).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

745 N 500 W Ste 200

Provo, UT 846011472

Telephone 8013759292
Fax 8013759290

Authorized Official Information

Authorized Contact Name

DR. Benjamin St Clair , DO

Title / Role

Doctor

Official Telephone

8013759292

Facility Classifications & Specialties

Allergy & Immunology Primary Taxonomy

NUCC Taxonomy Code: 207K00000X

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Dr. Christopher Gordon , DO NPI 1003234873

Allergy & Immunology

Provo, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active May 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2026

Registered at 745 N 500 W STE 200, PROVO, UT 846011472 (Tel: 8013759292)

📍
Updated Business Mailing Address May 08, 2026

Registered at 745 N 500 W STE 200, PROVO, UT 846011472 (Tel: 8013759292)

🏛️
Organization / Clinic Name Updated May 08, 2026

Operating as BENJAMIN STCLAIR DO LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2026

Allergy & Immunology

🟢
Initial NPI Registration & Enumeration May 08, 2026

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
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NPI Organization Metadata

NPI Number: 1215865589
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 08, 2026
Last Update: May 08, 2026
Update or Correct Listing

Mailing Address

745 N 500 W Ste 200

Provo, UT 846011472

Phone: 8013759292

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.