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Individual

MR. BRUCE GARY CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0038316
WASHINGTON STATE L & I
WA
01
5632526
AETNA
WA
01
8918109
WASHINGTON STATE CRIME V
WA
01
CL3893
REGENCE
WA
05
G8334427
WA
Enumeration date
09/25/2006
Last updated
01/24/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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