Provider Demographics
NPI:1053304303
Name:MARSTON, CLIFFORD B III (DPM)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:B
Last Name:MARSTON
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 COUNTY ROAD 1173
Mailing Address - Street 2:
Mailing Address - City:GASSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72635-8708
Mailing Address - Country:US
Mailing Address - Phone:870-405-4428
Mailing Address - Fax:
Practice Address - Street 1:248 COUNTY ROAD 1173
Practice Address - Street 2:
Practice Address - City:GASSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72635-8708
Practice Address - Country:US
Practice Address - Phone:870-405-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2016-08-26
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
AR132213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery