Healthcare Provider Details

I. General information

NPI: 1932294972
Provider Name (Legal Business Name): MARTY CLAYMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 W MUNCIE AVE
CLOVIS CA
93619-8351
US

IV. Provider business mailing address

483 W MUNCIE AVE
CLOVIS CA
93619-8351
US

V. Phone/Fax

Practice location:
  • Phone: 559-250-8344
  • Fax:
Mailing address:
  • Phone: 559-250-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG73722
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number29058
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: