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Individual
DR. CLIFFORD JOE ANDERSON
Active
Individual
DR. CLIFFORD JOE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD00019556
WA
207K00000X
Allergy & Immunology Physician
Primary
MD09504
OR
207KA0200X
Allergy Physician
MD00019556
WA
207KA0200X
Allergy Physician
MD09504
OR
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
MD00019556
WA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
MD09504
OR
207RR0500X
Rheumatology Physician
MD09504
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004028
—
OR
Enumeration date
06/22/2005
Last updated
08/22/2008
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