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Organization
WEATHERFORD T CLAYTON M D INC
Active
Organization
WEATHERFORD T CLAYTON M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEATHERFORD T CLAYTON M.D. (OWNER)
(949) 646-2800
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD, #207, NEWPORT BEACH, CA 92663-3509
(949) 646-2800
(949) 646-8147
Mailing address
351 HOSPITAL RD, #207, NEWPORT BEACH, CA 92663-3509
(949) 646-2800
(949) 646-8147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G48202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482021
—
CA
Enumeration date
09/21/2010
Last updated
09/22/2010
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