Individual
DR. CLAYTON GREER SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 GRAHAM RD, 3011, FLORISSANT, MO 63031-8028
(314) 839-1211
(314) 893-8429
Mailing address
1224 GRAHAM RD, 3011, FLORISSANT, MO 63031-8028
(314) 839-1211
(314) 893-8429
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
2014015320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09488897
—
MS
05
—
1529171
—
TN
05
—
194545001
—
AR
Enumeration date
07/24/2008
Last updated
09/28/2022
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