Individual
DR. RYAN T CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E 15TH, WORLAND, WY 82401
(307) 347-6973
Mailing address
1564 BEGONIA ST, CASPER, WY 82604-3766
(307) 237-5459
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
6389A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117363400
—
WY
Enumeration date
06/02/2006
Last updated
07/09/2007
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