Individual
MR. JOHN K CLAYSHULTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5700 N ELIZABETH ST, PUEBLO, CO 81008-2166
(719) 355-1585
(719) 623-2983
Mailing address
9348 GRAND CORDERA PKWY STE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60632876
WA
363A00000X
Physician Assistant
Primary
PA.0008465
CO
363A00000X
Physician Assistant
PA2014-0058
NM
Other
Enumeration date
08/27/2008
Last updated
02/03/2026
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