NPI 1013322080

Clayton Lewis Theleman, MD

Practitioner Surgery Physician Liberty, MO

Practice location

Address: 2521 Glenn Hendren Dr STE 108, Liberty, MO 64068
Phone: (816) 781-3515
Fax: (816) 781-3517
Mailing address: PO Box 219672, Kansas City, MO 64121-9672

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2019014000 (MO)

Other Surgery providers in Missouri →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 12506876 (IL)

Registry record

NPI: 1013322080
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2014
Record last updated: 27 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.