Individual
CLIFTON RODGERS VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-31258
KS
207RC0000X
Cardiovascular Disease Physician
2004013314
MO
207RC0000X
Cardiovascular Disease Physician
Primary
24308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942500
—
AL
Enumeration date
09/20/2006
Last updated
07/21/2010
Update your record
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