Individual
CLIFFORD G. FEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15025 INNOVATION DR, SAN DIEGO, CA 92128-3409
(858) 605-7973
Mailing address
FILE 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34510
—
CA
Enumeration date
09/03/2006
Last updated
06/25/2009
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