Clayton Primary Care Group, INC

NPI #1154571776 in Saint Louis, Missouri

Provider Information

NPI Number: 1154571776
Entity Type: Organization
Organization Name: Clayton Primary Care Group, INC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 19, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 3009 N BALLAS RD
Address 2: SUITE 300 A
City: Saint Louis
State: Missouri
ZIP Code: 63131-2322
Phone: (314) 872-9900

Authorized Official

Name: J COLLINS CORDER, M D
Title: OWNER/PARTNER
Phone: (314) 872-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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