Thomas Stanford Clayton IV PA

NPI 1023135175 - Physician Assistant - 363A00000X

NPI Details
NPI 1023135175
Gender Male
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
117 NORTH RD
OCCUPATIONAL HEALTH SERVICES
BRENTWOOD NH, 03833-6624, US
Phone (603) 679-5335
Fax (603) 679-9329
Business Location
16 CLAYTONS WAY
ELIOT ME, 03903-1836, US
Phone (207) 438-9893
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maine
License Number PA-573
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According to our database, Mr. Thomas Stanford Clayton IV PA NPI is 1023135175, taxonomy code is 363A00000X and license number is PA-573, license state is located at Maine. Thomas Stanford Clayton IV PA physically located at 117 North Rd, Brentwood NH, 03833-6624. NPI Number Thomas Stanford Clayton IV PA has the Individual type.

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1023135175 NPI number is provided on an as is basis without warranty of any kind. 1023135175 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Stanford Clayton IV PA are for informational purposes only.