Individual
CLAYTON MICHAEL MARAIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2309 E MAIN ST, SUITE 200, NEW IBERIA, LA 70560-4046
(337) 256-8779
(337) 359-4997
Mailing address
PO BOX 12137, NEW IBERIA, LA 70562-2137
(337) 256-8779
(337) 359-4997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.207826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144235
—
LA
Enumeration date
05/03/2011
Last updated
01/09/2017
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