| NPI | 1932322872 |
|---|---|
| Doing Business As | DR. RENEE J. CLAYCAMP |
| Entity Type | Organization |
| Authorized Contact | RENEE J CLAYCAMP Physician 816-632-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 113134) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-12-17 |