Individual
ROBERT W CLAYTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
241 AIMEE RD, FERRIDAY, LA 71334-9615
(318) 336-2220
(318) 336-6060
Mailing address
241 AIMEE RD, FERRIDAY, LA 71334-9615
(318) 336-2220
(318) 336-6060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN029650AP02167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082801
—
MS
01
—
050584209C
MS BLUE CROSS
MS
05
—
1396575
—
LA
Enumeration date
02/03/2006
Last updated
08/03/2023
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