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DONALD EUGENE CLAYTON MD

Allergy

Lafayette, Indiana

Provider NPI: 1932178746

Provider Information:
 DONALD EUGENE CLAYTON MD


Practice Location:
2600 GREENBUSH ST  LAFAYETTE, IN 47904 US
Tel: 765-448-8000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
IN01026209A
Y207R00000XPhysicians
Internal Medicine
IN01026209A

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM PROVIDER NUMBER000000189458IN01
100231520IN05
PHCS PID NUMBER9396966IN01
CAQH NUMBER10824916IN01
CL80529003IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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