Individual
MR. CLIFTON TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7522
Mailing address
MCDONALD ARMY HEALTH CENTER, 576 JEFFERSON AVE, FORT EUSTIS, VA 23604-5548
(757) 314-7522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002048
VA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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