Individual
LESLIE A CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
8301 GOLDEN VALLEY RD STE 100, GOLDEN VALLEY, MN 55427-4469
(763) 581-5150
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10024
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779482700
—
MN
Enumeration date
02/17/2006
Last updated
08/20/2021
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