Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | D0077360 | MD |
NPI | 1104051945 |
---|---|
Provider Name | Elizabeth Smelter Clayton |
First Address | Easton, MD 21601-4302 |
Second Address | Easton, MD 21601-4302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2009 |
Last Update Date | 13/05/2016 |