Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101253275 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101253275 | VA |
NPI | 1063617140 |
---|---|
Provider Name | Dr. Clifford T Hepper |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | Richmond, VA 23226-1935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 24/06/2020 |