Individual
DANIEL RAYDELL CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1022 BELANGER ST, HOUMA, LA 70360-4412
(985) 223-3132
(985) 223-3126
Mailing address
PO BOX 1094, HOUMA, LA 70361-1094
(985) 223-3132
(985) 223-3126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
A10531.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625922
—
LA
Enumeration date
03/08/2006
Last updated
12/13/2012
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