Healthcare Provider Details

I. General information

NPI: 1679521405
Provider Name (Legal Business Name): MILDRED MURPHY CLIFTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISSY CLIFTON M.D.

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SE PLAZA AVE STE 5
BENTONVILLE AR
72712-5697
US

IV. Provider business mailing address

901 SE PLAZA AVE STE 5
BENTONVILLE AR
72712-5473
US

V. Phone/Fax

Practice location:
  • Phone: 479-273-3376
  • Fax: 479-273-3468
Mailing address:
  • Phone: 479-273-3376
  • Fax: 479-273-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberE3363
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberE3363
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License NumberE3363
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: