Individual
CLIFFORD R TALBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MO27291
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598700338
—
IL
05
—
188125001
—
AR
05
—
201669827
—
MO
05
—
7100170640
—
KY
01
—
P00964448
RR MEDICARE
MO
Enumeration date
06/17/2006
Last updated
02/25/2021
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