Individual
CLAYTON RICHARD JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-3475
(563) 584-3395
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00051
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016998
—
IA
Enumeration date
05/16/2006
Last updated
07/08/2007
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