Individual
CLAYTON LADERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1450 TREAT BLVD STE 160, WALNUT CREEK, CA 94597-2168
(925) 296-9000
Mailing address
1450 TREAT BLVD STE 300, WALNUT CREEK, CA 94597-2168
(925) 952-2888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52569
CA
Other
Enumeration date
07/15/2015
Last updated
02/05/2018
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