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Individual

CLAYTON HARGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 348-4021
Mailing address
7951 S VAQUERO TRL, SAFFORD, AZ 85546-7924
(928) 348-9608

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3577
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
991895
AZ
Enumeration date
07/21/2006
Last updated
07/08/2007
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