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Individual
CLIFFORD L DOTSON
Active
Individual
CLIFFORD L DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01059237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325645
BCBS - MARY STREET
IN
01
—
000000386249
BCBS - GATEWAY
IN
05
—
64081847
—
KY
05
—
824749559 PYE 1
—
IL
01
—
P00142364
RR MCARE PIN
IN
Enumeration date
07/12/2006
Last updated
07/09/2007
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