Individual
CLAYTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20A20823
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
07/12/2023
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