Provider Demographics
NPI:1255829289
Name:CLAYTON, GERALD HANNON II (PHD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:HANNON
Last Name:CLAYTON
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13123 E. 16TH AVENUE
Mailing Address - Street 2:DEPT PM&R, B-285
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-8842
Mailing Address - Fax:720-777-7297
Practice Address - Street 1:13123 E. 16TH AVENUE
Practice Address - Street 2:DEPT PM&R, B-285
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-8842
Practice Address - Fax:720-777-7297
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO123452085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology