Organization
CLAYTON MEDICAL CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P NICHOLAS M.D. (OWNER)
(314) 567-7026
Entity
Organization
Contact information
Practice address
12 LINDWORTH DR, SAINT LOUIS, MO 63124-1475
(314) 567-7026
Mailing address
12 LINDWORTH DR, SAINT LOUIS, MO 63124-1475
(314) 567-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36303
MO
Other
Enumeration date
07/30/2006
Last updated
05/10/2016
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