Provider Demographics
NPI:1356476808
Name:GOTT, CLINTON THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:THOMAS
Last Name:GOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HUMMINGBIRD CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2153
Mailing Address - Country:US
Mailing Address - Phone:702-450-3322
Mailing Address - Fax:702-891-0970
Practice Address - Street 1:14 HUMMINGBIRD CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2153
Practice Address - Country:US
Practice Address - Phone:702-450-3322
Practice Address - Fax:702-891-0970
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4436207T00000X
CAG033535207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery