Provider Demographics
NPI:1548226269
Name:CLIFFORD, FRANK DAVID (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:DAVID
Last Name:CLIFFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365
Mailing Address - Country:US
Mailing Address - Phone:814-726-3310
Mailing Address - Fax:814-726-0295
Practice Address - Street 1:143 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365
Practice Address - Country:US
Practice Address - Phone:814-726-3310
Practice Address - Fax:814-726-0295
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025720E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000913438Medicaid
PA164576OtherMEDPLUS
NY25219201OtherUNIVERA
080023433OtherPALMETTO
PA436921OtherBLUE SHIELD