Provider Demographics
NPI:1225558448
Name:DAMME, CLAYTON (MD)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:
Last Name:DAMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7121 STEPHANIE LN STE 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5352
Mailing Address - Country:US
Mailing Address - Phone:970-663-2742
Mailing Address - Fax:970-667-0847
Practice Address - Street 1:7121 STEPHANIE LN STE 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5352
Practice Address - Country:US
Practice Address - Phone:402-413-5010
Practice Address - Fax:402-413-5009
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE7976207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology