NPI 1033106505
Jesse E Clanton, MD
Practice location
- Address
- 2302 College Ave, Conway, AR 72034-6297
- Phone
- (501) 513-5793
- Fax
- (501) 513-5417
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1033106505
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Sep 2005
- Record last updated
- 29 Jul 2010
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.