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Individual

DR. MARVIN DEMENTREOUS CLIFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4884 CONSTITUTION AVE, STE 1E, BATON ROUGE, LA 70808-3324
(225) 923-1621
(225) 923-1623
Mailing address
4884 CONSTITUTION AVE, STE 1E, BATON ROUGE, LA 70808-3324
(225) 923-1621
(225) 923-1623

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
05469R
LA

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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