Individual
CLAYTON ELLIS NELSON
Active
Individual
CLAYTON ELLIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD461592
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
29279
OK
207XS0106X
Orthopaedic Hand Surgery Physician
MD461592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445900A
—
OK
Enumeration date
05/30/2012
Last updated
06/16/2023
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