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NPI Code Detail

MEDICARE: CLAYTON L SCHUTZ PA-C

MEDICARE: CLAYTON L SCHUTZ PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2019008332MO

General Provider Information

NPI Number : 1851858369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAYTON L SCHUTZ PA-C
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 3401 BERRYWOOD DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8372
Country : US
Telephone Number : 573-777-8330
Fax Number : 573-777-8390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 05/04/2026

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