Organization
CLIFFORD RALPH MELTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD RALPH MELTON MD (PRES OWNER)
(510) 835-3680
Entity
Organization
Contact information
Practice address
401 29TH ST, 206, OAKLAND, CA 94609
(510) 835-3680
(510) 835-0738
Mailing address
401 29TH ST, 206, OAKLAND, CA 94609
(510) 835-3680
(510) 835-0738
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A35741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357410
—
CA
Enumeration date
10/05/2006
Last updated
07/11/2008
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