Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2493 | OK |
NPI | 1053329201 |
---|---|
Provider Name | Dr. James Thomas Clayton |
First Address | Bartlesville, OK 74005-2188 |
Second Address | Bartlesville, OK 74003-6616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 08/07/2007 |