Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | IN PROCESS | OH |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD.34076 | AL |
NPI | 1285962852 |
---|---|
Provider Name | Matthew Daniel Clayton |
First Address | Huntsville, AL 35802-1632 |
Second Address | Huntsville, AL 35802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2009 |
Last Update Date | 22/08/2018 |