Individual
DR. CLIFFORD DECATUR PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-5959
Mailing address
9040 FOREST LN, CHESTERLAND, OH 44026-3124
(440) 729-3704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35061430
OH
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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