Organization
DR CONRAD CLAYTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD A CLAYTOR DPM (OWNER)
(540) 982-0253
Entity
Organization
Contact information
Practice address
1422 GRANDIN RD SW, ROANOKE, VA 24015-2353
(540) 982-0253
(540) 982-1996
Mailing address
1422 GRANDIN RD SW, ROANOKE, VA 24015-2353
(540) 982-0253
(540) 982-1996
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0103000782
VA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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