| David L. Clayton Md Inc | |
|
621 Memorial Dr Suite 624 South Bend IN 46601-1063 | |
| (574) 282-2708 | |
| (574) 282-1044 |
| Full Name | David L. Clayton Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 621 Memorial Dr, South Bend, Indiana |
| Authorized Official Name and Position | David Lee Clayton (OWNER) |
| Authorized Official Contact | 5742822708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Clayton Md Inc 621 Memorial Dr Suite 624 South Bend IN 46601-1063 Ph: (574) 282-2708 | David L. Clayton Md Inc 621 Memorial Dr Suite 624 South Bend IN 46601-1063 Ph: (574) 282-2708 |
| NPI Number | 1255620985 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255620985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01024951A (Indiana) | Primary |
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