Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 20A13538 | CA |
NPI | 1003135823 |
---|---|
Provider Name | Dr. Clayton Lee Schiltz |
First Address | Gilroy, CA 95020-4963 |
Second Address | Gilroy, CA 95020-4963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2010 |
Last Update Date | 18/01/2018 |