Individual
DR. CAROL L CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
10700 CORRALES ROAD, SUITE I, ALBUQUERQUE, NM 87114
(505) 890-0003
(505) 890-3330
Mailing address
10700 CORRALES ROAD, SUITE I, ALBUQUERQUE, NM 87114
(505) 890-0003
(505) 890-3330
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1124
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F3266
—
NM
01
—
NM00184
MEDICARE PTAN
NM
01
—
NM00K42W
BCBS
NM
Enumeration date
05/23/2005
Last updated
07/13/2016
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