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NPI Code Detail

MEDICARE: MR. CLIFFORD FRANCIS PEARSON

MEDICARE: MR. CLIFFORD FRANCIS PEARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHA0011050CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HA0011050OTHERCAHEARING AID DISPENSER

General Provider Information

NPI Number : 1285776005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLIFFORD FRANCIS PEARSON
Provider Business Mailing Address
First Line : 2400 LAS GALLINAS AVENUE, SUITE 150
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-1449
Country : US
Telephone Number : 415-479-5675
Fax Number :
Provider Business Practice Location Address
First Line : 2400 LAS GALLINAS AVE STE 150
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-1449
Country : US
Telephone Number : 415-479-5675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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Directions to “ MR. CLIFFORD FRANCIS PEARSON ” Practice Location

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