Individual
SAMUEL CLAYTON COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
42ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 552-2000
Mailing address
2271 350TH ST, LAKE CITY, IA 51449-7526
(712) 210-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03543901
NY
363A00000X
Physician Assistant
3136
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
03/31/2026
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