Basic Information
Provider Information
NPI: 1205222916
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMES
FirstName: CLAYTON
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8000 E MAPLEWOOD AVE STE 200
Address2:  
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801114727
CountryCode: US
TelephoneNumber: 3034383999
FaxNumber: 7204399500
Practice Location
Address1: 9191 GRANT ST
Address2:  
City: THORNTON
State: CO
PostalCode: 80229
CountryCode: US
TelephoneNumber: 3034517800
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2015
LastUpdateDate: 08/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XDR.0062329COY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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