Individual
BLAKE C CLIFTON
Active
Individual
BLAKE C CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10034019
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR0055411
CO
390200000X
Student in an Organized Health Care Education/Training Program
RS2014-0362
NM
Other
Enumeration date
06/16/2009
Last updated
02/27/2025
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