Individual
DR. CHRISTOPHER EARL CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 CASS ST, MONTEREY, CA 93940-4548
(831) 648-3361
(831) 375-5824
Mailing address
980 CASS ST, MONTEREY, CA 93940-4548
(831) 648-3361
(831) 375-5824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G84499
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G84499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184178500
DOL
CA
Enumeration date
11/22/2005
Last updated
12/22/2021
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