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Individual
DR. CHARLES CLIFTON
Active
Individual
DR. CHARLES CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7608
AR
207Q00000X
Family Medicine Physician
C7658
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115622001
—
AR
01
—
13149000000
QUAL CHOICE
AR
01
—
710781138
TAX ID
—
Enumeration date
08/31/2006
Last updated
11/01/2012
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