Provider Demographics
NPI:1285244939
Name:VESELY, CLAYTON J (DO)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:J
Last Name:VESELY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:505 POPE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66027-2332
Mailing Address - Country:US
Mailing Address - Phone:913-684-6000
Mailing Address - Fax:
Practice Address - Street 1:5005 N PIEDRAS STREET
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2180
Practice Address - Fax:915-742-4363
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
NE2576207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine