Individual
CLIFTON A LATTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8248
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000766
—
AL
01
—
051000766
BCBS #
AL
01
—
110030732
RAILROAD MEDICARE
AL
Enumeration date
08/04/2006
Last updated
05/25/2010
Update your record
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