Individual
JEFFERY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2943
AK
207L00000X
Anesthesiology Physician
DR.0032419
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324193
—
CO
01
—
020257499
GROUPS ENERGY EMP#
AK
01
—
050082635
CLOUGHS RAILROAD MCR#
AK
01
—
193975000
GROUPS FED DOL#
AK
01
—
CI9459
GROUPS RAILROAD MCR#
AK
05
—
MD1730
—
AK
05
—
MDG417
—
AK
Enumeration date
05/12/2006
Last updated
11/30/2015
Update your record
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