Individual
DR. MARY E CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12098
MS
208000000X
Pediatrics Physician
12098
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115455
—
MS
01
—
043099
UNITED HEALTH CARE
MS
Enumeration date
09/25/2006
Last updated
02/23/2010
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