Whalio Doctors

NPI 1255423992

Marvin Dementreous Clifton, MD

Practitioner Neurological Surgery Physician Baton Rouge, LA

Practice location

Address
4884 Constitution Ave STE 1e, Baton Rouge, LA 70808-3324
Phone
(225) 923-1621
Fax
(225) 923-1623

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 05469R (LA)

Registry record

NPI
1255423992
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.