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NPI Code Detail

MEDICARE: CLAYTON MEDICAL ASSOCIATES, P.C.

MEDICARE: CLAYTON MEDICAL ASSOCIATES, P.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
1207RR0500XRheumatology Physician

General Provider Information

NPI Number : 1891774329
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAYTON MEDICAL ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Provider Business Practice Location Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN J BUDD III
Credential : M.D.
Telephone Number : 314-645-4434
Provider Enumeration Date : 01/12/2006
Last Update Date : 03/01/2022

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