Mazoue, Clayton Gregory

Mazoue, Clayton Gregory is an individual health care provider with primary practice located at 708 W Esplanade Ave , Kenner LA 70065-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mazoue, Clayton Gregory can be contacted via phone (504) 503-5100.

Contact Information

Primary practice address
708 W Esplanade Ave Kenner LA 70065-2736
Phone: (504) 503-5100
Fax: (504) 503-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.200841 Louisiana

Profile Details

NPI number 1982808762
LBN Legal business name Mazoue, Clayton Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982808762 NPPES
Louisiana MEDICAID 1072923

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