Individual
JARED G. CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A94014
CA
208600000X
Surgery Physician
Primary
DR-52995
CO
Other
Enumeration date
12/02/2005
Last updated
03/14/2018
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