Individual
DR. CLIFFORD CARL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
Contact information
Practice address
4510 BROCKTON AVE STE 175, RIVERSIDE, CA 92501-4020
(951) 786-5550
Mailing address
PO BOX 743111, ATLANTA, GA 30374-3111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G70288
CA
Other
Enumeration date
04/27/2006
Last updated
04/04/2024
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