Organization Name: | JOHN P CLAY MD INC |
NPI Number: | 1366772576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P CLAY (PRESIDENT) |
Mailing Address: | 2767 Olive Hwy Oroville |
State: | CA US |
Postal Code: | 959666118 |
Phone Number: | 5305341334 |
Fax Number: | 5305340532 |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 01/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G8051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |