Individual
MR. CLIFF SLOOP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
210 WESTSIDE DRIVE, DOTHAN, AL 36303
(334) 793-5074
Mailing address
210 WESTSIDE DRIVE, DOTHAN, AL 36303
(334) 793-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-130820
AL
Other
Enumeration date
10/05/2015
Last updated
03/03/2021
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