Pendleton, Clay Michael

Pendleton, Clay Michael is an individual health care provider with primary practice located at 501 Anglers Dr Suite 202, Steamboat Springs CO 80487-8840. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Pendleton, Clay Michael can be contacted via phone (970) 871-9710.

Contact Information

Primary practice address
501 Anglers Dr Suite 202 Steamboat Springs CO 80487-8840
Phone: (970) 871-9710
Fax: (970) 871-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0053605 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X 0053605 Colorado

Profile Details

NPI number 1942555081
LBN Legal business name Pendleton, Clay Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2012
Last updated May 19th, 2021 - about 5 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 1942555081 NPPES
Colorado MEDICAID 50038044

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