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Clifton A Mayberry, MD
Specialist in Pasadena, California
NPI 1063543056

Clifton A Mayberry is a Specialist based in Pasadena, CA. Clifton A Mayberry practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Clifton A Mayberry is 1063543056 and holds a License No. G43796 (California).

The current practice location address for Clifton A Mayberry is 2750 E Washington Blvd, Pasadena, CA and can be reached out via phone at 626-797-9883 and via fax at 626-797-9853.

Location: 2750 E Washington Blvd, Pasadena, CA, 91107-1448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063543056
Provider Name
Clifton A Mayberry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2750 E Washington Blvd, Pasadena, CA, 91107-1448
Phone Number
626-797-9883
Fax Number
626-797-9853
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0029750 05 CA
100002889 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2750 E Washington Blvd
City
Pasadena
State
California
Zip
91107-1448
Phone Number
626-797-9883
Fax Number
626-797-9853
person
Provider Business Mailing Address Details
Address
2750 E Washington Blvd
City
Pasadena
State
California
Zip
91107-1448
Phone Number
626-797-9883
Fax Number
626-797-9853
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G43796 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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