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Individual

CLAYTON JAMES BUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 CEDAR ST, CLEARWATER VALLEY HOSPITAL & CLINICS, OROFINO, ID 83544-9029
(208) 476-4555
Mailing address
21634 ANGEL POINT LN, PECK, ID 83545-8045
(208) 486-6063

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5069
MT
207Q00000X
Family Medicine Physician
A4684
WY
207Q00000X
Family Medicine Physician
Primary
M-9739
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807606600
ID
Enumeration date
10/23/2006
Last updated
08/06/2021
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