Individual
DR. CARL D. CLAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1925 W CHESTERFIELD BLVD, SPRINGFIELD, MO 65807-8686
(417) 269-0269
(417) 269-0279
Mailing address
123 JOHNSTOWN DR, #540, ROGERSVILLE, MO 65742-9366
(417) 753-7757
(417) 501-4392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240437921
—
MO
01
—
24806
BLUE CROSS
—
Enumeration date
08/28/2006
Last updated
01/15/2016
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