Organization
CLAYBORN FAMILY CLINIC, LLC
Active
Organization
CLAYBORN FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON CLAYBORN DO (PHYSICIAN/OWNER)
(918) 973-2372
Entity
Organization
Contact information
Practice address
517 N BROADWAY ST, CHECOTAH, OK 74426-1623
(918) 973-2372
(877) 991-9307
Mailing address
517 N BROADWAY ST, CHECOTAH, OK 74426-1623
(918) 973-2372
(877) 991-9307
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5726
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200629770A
—
OK
Enumeration date
06/06/2017
Last updated
07/21/2022
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