Individual
DR. CLIFFORD GENE CRAFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PHD
Contact information
Practice address
43 MISTLETOE DR, COVINGTON, LA 70433-4530
(985) 892-4546
Mailing address
43 MISTLETOE DR, COVINGTON, LA 70433-4530
(985) 892-4546
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
12377
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152064
—
LA
Enumeration date
05/05/2007
Last updated
07/08/2007
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