| NPI Details | |
|---|---|
| NPI | 1083618987 |
| Gender | Male |
| Enumeration Date | 06/08/2005 |
| Last Updated | 04/28/2015 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 307 BOATNER RD SUITE 114 EGLIN AFB FL, 32542-1302, US |
|
| Phone | (850) 883-8600 |
| Fax | |
| Business Location | |
|---|---|
| 307 BOATNER RD STE 114 EGLIN AFB FL, 32542-1302, US |
|
| Phone | (850) 883-8600 |
| Fax | (575) 625-8452 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RC0000X |
| License State | New Mexico |
| License Number | 2003-0352 |
| Remove 1083618987 NPI Number | |
According to our database, Clarence E Pearson MD NPI is 1083618987, taxonomy code is 207RC0000X and license number is 2003-0352, license state is located at New Mexico. Clarence E Pearson MD physically located at 307 Boatner Rd, Eglin Afb FL, 32542-1302. NPI Number Clarence E Pearson MD has the Individual type.
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1083618987 NPI number is provided on an as is basis without warranty of any kind. 1083618987 is maintained by the National Plan & Provider Enumeration System. The contents of Clarence E Pearson MD are for informational purposes only.
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