Individual
CLIFFORD S. MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 W 110TH ST, SUITE 500, OVERLAND PARK, KS 66210-2372
(800) 881-0722
Mailing address
7500 W 110TH ST, SUITE 500, OVERLAND PARK, KS 66210-2372
(800) 881-0722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-21049
KS
174400000X
Specialist
R9H39
MO
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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