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Individual

MR. CLAYTON THOMAS SHIRK I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
2260 N ROSEMONT BLVD STE 100, TUCSON, AZ 85712-2137
(520) 232-2021
(520) 232-2553
Mailing address
1830 E BROADWAY BLVD STE 124-316, TUCSON, AZ 85719-5966
(520) 232-2021

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8235
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
796078
AZ
Enumeration date
03/11/2013
Last updated
09/17/2020
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