# DAVID L. CLAYTON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255620985
- **Authorized official:** DR. DAVID LEE CLAYTON M.D. (OWNER)
- **Authorized official phone:** (574) 282-2708

## Contact information

- **Practice address:** 621 MEMORIAL DR, SUITE 624, SOUTH BEND, IN 46601-1063
- **Practice address phone:** (574) 282-2708
- **Practice address fax:** (574) 282-1044
- **Mailing address:** 621 MEMORIAL DR, SUITE 624, SOUTH BEND, IN 46601-1063
- **Mailing address phone:** (574) 282-2708
- **Mailing address fax:** (574) 282-1044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01024951A | IN | Yes |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 04/04/2011