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Individual
CEDRIC W MCCLINTON
Active
Individual
CEDRIC W MCCLINTON
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
12711
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00254
UNITED HEALTHCARE
AS
01
—
080100696
RAILROAD MEDICARE
AZ
01
—
1070241
CIGNA
AZ
01
—
1Z4543
HEALTHNET
AZ
05
—
223975
—
AZ
01
—
378583200
DEPT OF LABOR
AZ
01
—
4071662
AETNA
AZ
01
—
5027857
CCN
AZ
01
—
73521
FIRST HEALTH
AZ
01
—
81952
MAYO
AZ
01
—
AZ0805130
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/10/2005
Last updated
09/25/2013
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