Individual
ERICA FAN CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 925-7174
(415) 898-0870
Mailing address
1615 HILL RD STE B, NOVATO, CA 94947-4338
(415) 898-7649
(415) 898-0870
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A130468
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT195065
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT195065
PA
Other
Enumeration date
05/08/2009
Last updated
01/10/2022
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