Individual
CLIFFORD W WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105
(712) 252-2477
(712) 252-5516
Mailing address
1021 NEBRASKA ST, PO BOX 5410, SIOUX CITY, IA 51102-5410
(712) 252-2477
(712) 252-5516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001128
IA
363AM0700X
Medical Physician Assistant
001128
IA
Other
Enumeration date
06/12/2006
Last updated
06/14/2021
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