Individual
CLIFFORD R TALBERT JR.
Active
Individual
CLIFFORD R TALBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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