Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD467332 | PA |
NPI | 1174961049 |
---|---|
Provider Name | Clayton Alexander |
First Address | Annapolis, MD 21403-2377 |
Second Address | York, PA 17403-5073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 17/06/2019 |