| Dr Clifford Louis Lightfoot Iii, DO | |
|
835 Se Bishop Blvd, Pullman, WA 99163-5512 | |
| (509) 336-7386 | |
| Not Available |
| Full Name | Dr Clifford Louis Lightfoot Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 835 Se Bishop Blvd, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700036084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34.009787 (Ohio) | Primary |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clifford Louis Lightfoot Iii, DO 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: () - | Dr Clifford Louis Lightfoot Iii, DO 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7386 |
Dr. Gerardo R Rodriquez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Larry E Brown, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Stephen C Bergmann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Gregory Wallis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541 | |
Dr. Peter M Mikkelsen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 |