Individual
DR. CLARK B DIFFENDAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 PIONEERS BLVD, LINCOLN, NE 68506-4675
(402) 484-6677
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24399
NE
2085R0202X
Diagnostic Radiology Physician
Primary
TRN9101
FL
Other
Enumeration date
10/12/2006
Last updated
01/28/2022
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