Individual
CLIFFORD M GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 GLENN HENDREN DR STE 108, LIBERTY, MO 64068-3388
(816) 781-3515
(816) 781-3517
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 781-7730
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
04 23541
KS
207T00000X
Neurological Surgery Physician
Primary
MD R4P55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17554034
BCBS
MO
Enumeration date
08/09/2005
Last updated
07/21/2022
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