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Individual
DR. CLAY A CANADAY
Active
Individual
DR. CLAY A CANADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036085694
IL
207X00000X
Orthopaedic Surgery Physician
Primary
47614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020035406
COMMERICAL
IL
05
—
036085694
—
IL
01
—
3160469678
BCBS
IL
01
—
450030820
MEDICARE PTAN
WI
01
—
711290217
MEDICARE PTAN
WI
Enumeration date
03/29/2006
Last updated
08/12/2014
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