Healthcare Provider Details

I. General information

NPI: 1164484283
Provider Name (Legal Business Name): CLIFFORD LANIER DEAL III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 THREE CHOPT RD SUITE 300
RICHMOND VA
23229-4601
US

IV. Provider business mailing address

14241 LEAFIELD DR
MIDLOTHIAN VA
23113-6003
US

V. Phone/Fax

Practice location:
  • Phone: 804-285-9416
  • Fax: 804-285-0840
Mailing address:
  • Phone: 804-594-0925
  • Fax: 804-594-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101235677
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number0101235677
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number0101235677
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: