Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 009099 | AZ |
N | 207QS0010X | Family Doctor - Sports Medicine | 009099 | AZ |
NPI | 1164959441 |
---|---|
Provider Name | Dr. Robert Daniel Claflin |
First Address | Queen Creek, AZ 85142-6117 |
Second Address | Queen Creek, AZ 85142-6117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 01/02/2022 |