Individual
DEREL CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(800) 402-0881
Mailing address
PO BOX 1193, GLOBE, AZ 85502-1193
(725) 204-4632
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
313905
AZ
367500000X
Certified Registered Nurse Anesthetist
817830
NV
Other
Enumeration date
08/19/2024
Last updated
01/28/2025
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