Provider Demographics
NPI:1871694059
Name:MAY, CLARENCE B II (MD)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:B
Last Name:MAY
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:7221 W DESCHUTES AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7807
Mailing Address - Country:US
Mailing Address - Phone:509-374-4030
Mailing Address - Fax:509-374-8690
Practice Address - Street 1:7221 W DESCHUTES AVE
Practice Address - Street 2:SUITE A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7807
Practice Address - Country:US
Practice Address - Phone:509-374-4030
Practice Address - Fax:509-374-8690
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-06-11
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Provider Licenses
StateLicense IDTaxonomies
WA252652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8134728Medicaid
WA000316433Medicare ID - Type Unspecified
E17432Medicare UPIN