Individual
GILBERT N CLINTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
Mailing address
202 EAGLE ROCK BND, MILLBROOK, AL 36054-1773
(501) 258-1175
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E0807
AR
207L00000X
Anesthesiology Physician
Primary
ME134699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136439001
—
AR
01
—
5K389
AR BCBS
—
01
—
P00307561
RR MEDICARE GROUP CK6327
—
Enumeration date
04/04/2006
Last updated
02/06/2025
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