Individual
THOMAS O. CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
Mailing address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
E6283
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
47915
CO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
E6283
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
47915
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
E6283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133833701
CSHCN
—
05
—
133833706
—
TX
05
—
45851336
—
CO
01
—
81Z181
BCBSTX
TX
Enumeration date
06/07/2006
Last updated
11/24/2015
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