Provider Demographics
NPI:1104906700
Name:MORRIS, CLAYTON D (MD)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7501
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73153-1501
Mailing Address - Country:US
Mailing Address - Phone:405-799-0900
Mailing Address - Fax:405-799-0902
Practice Address - Street 1:604 S CLASSEN AVE STE C
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5403
Practice Address - Country:US
Practice Address - Phone:405-799-0900
Practice Address - Fax:405-799-0902
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK240012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry