Individual
CLIFFORD F SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 569-4740
Mailing address
5300 BURNHAM RANCH RD, SANTA ROSA, CA 95404-9519
(707) 569-9787
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
21079
OK
2085R0202X
Diagnostic Radiology Physician
Primary
G81470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062620B
—
OK
Enumeration date
03/11/2006
Last updated
12/13/2021
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