Individual
DR. CLAY GARRETT FORSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
48754
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
48754
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
A121163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GJ636A
—
CA
Enumeration date
12/09/2007
Last updated
11/07/2019
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