Organization
CLAYTON R PERRY, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON PERRY MD (OWNER)
(314) 768-3216
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE, SUITE 400, FENTON, MO 63026-2387
(314) 821-4884
Mailing address
4248 RELIABLE PARKWAY, CHICAGO, IL 60638
(314) 872-1361
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R3C54
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201712254
—
MO
Enumeration date
01/30/2006
Last updated
11/13/2009
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