Provider Demographics
NPI:1871606541
Name:RECTOR, CLAYTON THOMAS JR (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:CLAYTON
Middle Name:THOMAS
Last Name:RECTOR
Suffix:JR
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:6801 LEISURE TOWN ROAD #227
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688
Mailing Address - Country:US
Mailing Address - Phone:707-344-7149
Mailing Address - Fax:
Practice Address - Street 1:3000 Q STREET
Practice Address - Street 2:GASTROENTEROLOGY DEPARTMENT
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-733-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-11-04
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Provider Licenses
StateLicense IDTaxonomies
CAPA16404363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical