Organization
CLAXTON MEDICAL PC
Active
Other names
Claxton Hepburn Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
WYLON SPRINGSTEAD (BILLING MANAGER)
(315) 393-2850
Entity
Organization
Contact information
Practice address
921 STATE ST, OGDENSBURG, NY 13669-3347
(315) 393-1856
Mailing address
921 STATE ST, OGDENSBURG, NY 13669-3347
(315) 393-1856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/19/2015
Last updated
06/22/2015
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