Individual
DR. CHARLES CLAYTON GUIDRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5141 CRENSHAW BLVD, LOS ANGELES, CA 90043-1853
(800) 831-4767
(909) 338-9883
Mailing address
PO BOX 55378, #4105, LOS ANGELES, CA 90055-2378
(281) 989-5952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248950
NY
2086S0102X
Surgical Critical Care Physician
Primary
248950
NY
2086S0127X
Trauma Surgery Physician
248950
NY
Other
Enumeration date
06/11/2009
Last updated
09/22/2016
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