Dr Clayton Tyan Chiem, DNP-CRNA | |
10800 Knights Rd, Philadelphia, PA 19114-4200 | |
(215) 612-4000 | |
Not Available |
Full Name | Dr Clayton Tyan Chiem |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10800 Knights Rd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841898327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 131847 (Pennsylvania) | Primary |
Entity Name | Aria Health Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045 |
Mailing Address | Practice Location Address |
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Dr Clayton Tyan Chiem, DNP-CRNA 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-4000 | Dr Clayton Tyan Chiem, DNP-CRNA 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-4000 |
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