Individual
MR. CLIFFORD MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5275 F ST, STE 3, SACRAMENTO, CA 95819-3225
(916) 733-6050
(916) 733-6051
Mailing address
P.O. BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 736-6798
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G45773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G457730
—
CA
Enumeration date
08/19/2005
Last updated
01/12/2012
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