Individual
TRENTON CLAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N EAST ST, OLNEY, IL 62450-2432
(618) 395-6081
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005989
IL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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