Doctor Name: | CLARENCE E PEARSON |
NPI Number: | 1083618987 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2003-0352 |
Business Practice Address: | 307 Boatner Rd Suite 114 Eglin Afb, FL - 325421302 |
Business Phone Number: | 8508838600 |
Business Fax Number: | |
Mailing Address: | 307 Boatner Rd Ste 114, EGLIN AFB |
State: | FL |
Postal Code: | 325421302 |
Phone Number: | 8508838600 |
Fax Number: | 5756258452 |
NPI Enumeration Date: | 06/08/2005 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 2003-0352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |