Individual
STEPHEN MICHAEL CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.C.
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21177
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016659
—
IA
01
—
30056
BLUE CROSS BLUE SHIELD IA
IA
05
—
32620700
—
WI
Enumeration date
08/23/2005
Last updated
12/11/2007
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