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Individual
DOUGLAS E CLAYBROOK
Active
Individual
DOUGLAS E CLAYBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01029167A
IN
208800000X
Urology Physician
36089198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089642
ANTHEM
—
05
—
100250650
—
IN
05
—
100250650U
—
IN
01
—
340009236
RAILROAD MCARE PALAMETTO
—
01
—
340009242
RAILROAD MCARE PALAMETTO
—
01
—
P00828496
RAILROAD MEDICARE
IN
Enumeration date
08/23/2006
Last updated
08/18/2010
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