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Individual

CLIFFORD C PODEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14300 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-5783
(623) 546-8777
Mailing address
14300 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-5783
(623) 546-8777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22999
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191081
AZ
Enumeration date
01/23/2006
Last updated
07/08/2007
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