Organization
LLOYD J. CLEAVER, D.O., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD JEROME CLEAVER D.O. (OWNER)
(660) 627-7546
Entity
Organization
Contact information
Practice address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
(660) 627-7546
(660) 956-7096
Mailing address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
(660) 627-7546
(660) 956-7097
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R8895
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004124
RAILROAD MEDICARE
MO
01
—
1063495463
NPI
—
01
—
1104829829
NPI
—
01
—
1295932648
NPI (DAVID W. CLEAVER)
MO
01
—
2010022125
MO LICENSE (DAVID W. CLEAVER)
MO
05
—
242210912
—
MO
05
—
428713812
—
MO
05
—
501218200
—
MO
01
—
DG4290
RAILROAD MEDICARE GROUP #
MO
Enumeration date
01/30/2007
Last updated
09/29/2016
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