Organization
SCOTT C. CLAYCOMB, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C CLAYCOMB M.D. (PRESIDENT)
(870) 367-8534
Entity
Organization
Contact information
Practice address
301 HIGHWAY 425 S, MONTICELLO, AR 71655-4611
(870) 367-8534
(870) 367-0264
Mailing address
PO BOX 890, WARREN, AR 71671-0890
(870) 367-8534
(870) 367-0264
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C7907
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128298002
—
AR
01
—
16703
QUALCHOICE
AR
01
—
180024861
RAILROAD MEDICARE
AR
01
—
54339
AR BCBS
AR
Enumeration date
12/07/2007
Last updated
08/28/2014
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