Clark Larkin Gifford MD

NPI 1063493435 - Pediatrics - 208000000X

NPI Details
NPI 1063493435
Gender Male
Enumeration Date 11/10/2005
Last Updated 12/02/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
7117 BROCKTON AVE
RIVERSIDE CA, 92506-2615, US
Phone (951) 782-3685
Fax (951) 784-3256
Business Location
3660 ARLINGTON AVE
RIVERSIDE CA, 92506-3912, US
Phone (951) 782-3685
Fax (951) 784-3256
Toxanomy
Taxonomy Code 208000000X
License State California
License Number G47524
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According to our database, Clark Larkin Gifford MD NPI is 1063493435, taxonomy code is 208000000X and license number is G47524, license state is located at California. Clark Larkin Gifford MD physically located at 7117 Brockton Ave, Riverside CA, 92506-2615. NPI Number Clark Larkin Gifford MD has the Individual type.

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1063493435 NPI number is provided on an as is basis without warranty of any kind. 1063493435 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Larkin Gifford MD are for informational purposes only.