Provider Demographics
NPI:1902215544
Name:CREIGHTON, CLARA SMITH (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARA
Middle Name:SMITH
Last Name:CREIGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9724 N ARMENIA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7550
Mailing Address - Country:US
Mailing Address - Phone:813-915-8666
Mailing Address - Fax:813-930-9536
Practice Address - Street 1:9724 N ARMENIA AVE
Practice Address - Street 2:STE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7550
Practice Address - Country:US
Practice Address - Phone:813-915-8666
Practice Address - Fax:813-930-9536
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME38694204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM