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Individual

DR. MICHAEL DEWIT CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 CASA ST, SUITE 202, SAN LUIS OBISPO, CA 93405-5803
(805) 786-2500
(805) 781-0423
Mailing address
3599 SUELDO ST, 110, SAN LUIS OBISPO, CA 93401-7329
(805) 786-2500
(805) 781-0423

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A45346
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A453460
CA
Enumeration date
09/27/2006
Last updated
03/12/2008
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