Individual
MICHAEL SHANNON CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NMCB 5, UNIT 25294, FPO AP, CA 96601-4961
(757) 630-7930
Mailing address
NMCB 5, UNIT 25294, FPO AP, CA 96601-4961
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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