Provider Demographics
NPI:1366584013
Name:CLIFFORD, MICHAEL E (MICHAEL CLIFFORD MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:CLIFFORD
Suffix:
Gender:M
Credentials:MICHAEL CLIFFORD MD
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Mailing Address - Street 1:7151 CASCADE VALLEY CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0496
Mailing Address - Country:US
Mailing Address - Phone:702-944-5444
Mailing Address - Fax:702-944-4322
Practice Address - Street 1:7151 CASCADE VALLEY CT
Practice Address - Street 2:SUITE 103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0496
Practice Address - Country:US
Practice Address - Phone:702-944-5444
Practice Address - Fax:702-944-4322
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVMD5960207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVMD5960Medicare ID - Type Unspecified
NVD24059Medicare UPIN