Organization
FRED E CLAYSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E CLAYSON MD (PHYSICIAN)
(801) 387-3550
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD, #3600, OGDEN, UT 84403-3285
(801) 387-3550
(801) 387-3555
Mailing address
4403 HARRISON BLVD, #3600, OGDEN, UT 84403-3285
(801) 387-3550
(801) 387-3555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1566231205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528628151006
—
UT
Enumeration date
09/09/2006
Last updated
08/22/2020
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