Individual
CLAYTON TYLER SCHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
305 N KEENE ST STE 105, COLUMBIA, MO 65201-6897
(573) 442-2299
Mailing address
PO BOX 7167, COLUMBIA, MO 65205-7167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019003607
MO
Other
Enumeration date
04/26/2019
Last updated
04/29/2019
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