Individual
CLAYTON W NUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2013044289
MO
207X00000X
Orthopaedic Surgery Physician
R2933
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2013044289
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015413
—
MO
Enumeration date
06/29/2009
Last updated
06/26/2024
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