Clarence E Pearson MD

NPI 1083618987 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083618987
Gender Male
Enumeration Date 06/08/2005
Last Updated 04/28/2015
Entity Type Individual
Active Over 11 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
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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.