Individual
CLIFTON WALES SALMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 MORRIS CIR, HOMER, LA 71040-2100
(318) 927-6777
(318) 927-6714
Mailing address
PO BOX 300, 104 MORRIS CIRCLE, HOMER, LA 71040-0300
(318) 927-6777
(318) 927-6714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018524
LA
207QA0401X
Addiction Medicine (Family Medicine) Physician
018524
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358827
—
LA
Enumeration date
04/19/2006
Last updated
10/15/2021
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