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Individual

GRAHAM C CLIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-4311
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(085) 978-7918
(808) 597-8781

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOS-2352
HI
207P00000X
Emergency Medicine Physician
OS19061
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
UO6718
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730642901
FL
Enumeration date
04/12/2019
Last updated
07/11/2023
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