Individual
ALI KING CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-4861
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004711RX
OH
363AS0400X
Surgical Physician Assistant
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633878
BCBS IL
IL
Enumeration date
07/25/2012
Last updated
03/17/2018
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