Individual
GREGORY PAUL CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 335-6365
(307) 332-0312
Mailing address
PO BOX 678898, DALLAS, TX 75267-8898
(801) 423-3306
(719) 591-2745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5956A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113014500
—
WY
Enumeration date
10/10/2005
Last updated
10/26/2015
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