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DR. CLAYTON LEWIS THELEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2521 GLENN HENDREN DR STE 108, LIBERTY, MO 64068
(816) 781-3515
(816) 781-3517
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 407-4555
(816) 407-2362

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
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