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Individual
DR. CLIFTON DAVID BETHEL
Active
Individual
DR. CLIFTON DAVID BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.S.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007048
IA
111N00000X
Chiropractor
038008347
IL
111N00000X
Chiropractor
CH10008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08122452
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/26/2005
Last updated
03/20/2019
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