# CEDRIC W MCCLINTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932197365
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12711 | AZ | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 09/25/2013

## 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 |