Provider Demographics
NPI:1003867136
Name:RAYOS, CLARENCE C (DO)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:C
Last Name:RAYOS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:19401 HUBBARD DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2641
Mailing Address - Country:US
Mailing Address - Phone:313-982-8280
Mailing Address - Fax:313-982-8271
Practice Address - Street 1:19401 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2641
Practice Address - Country:US
Practice Address - Phone:313-982-8280
Practice Address - Fax:313-982-8271
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2013-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101010643207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology