Individual
CLAYTON JOE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 PIEDMONT AVE, PIEDMONT, MO 63957-1024
(573) 223-4233
Mailing address
724 W GREEN HILL ST, PIEDMONT, MO 63957-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022026858
MO
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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