Individual
DR. CLAYTON LEWIS THELEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12506876
IL
208600000X
Surgery Physician
Primary
2019014000
MO
Other
Enumeration date
06/27/2014
Last updated
06/27/2019
Update your record
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