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Individual
MR. STEVAN MICHAEL CLIFTON
Active
Individual
MR. STEVAN MICHAEL CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102298
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179RV
BCBSNC
NC
05
—
8102913
—
NC
01
—
P01140593
RR MEDICARE
NC
Enumeration date
08/13/2008
Last updated
10/14/2013
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