Individual
CLAYTON D BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10100 KANIS RD, LITTLE ROCK, AR 72205
(501) 255-6000
(501) 255-6400
Mailing address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E-6483
AR
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
E-6483
AR
207UN0901X
Nuclear Cardiology Physician
E-6483
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185072001
—
AR
Enumeration date
08/13/2006
Last updated
07/19/2018
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