IndividualActive
Clayton Scanlon, MD
NPI 1073778460 · Retina Specialist (Ophthalmology) Physician · Florissant, MO
Provider details
- NPI number
- 1073778460
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2014015320 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1224 Graham Rd
3011
Florissant, MO 63031-8028
Phone: (314) 839-1211
Fax: (314) 893-8429
Approximate (ZIP-level) locationGet directions
Mailing address
1224 Graham Rd
Florissant, MO 63031-8028
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.