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CLYDE T JR ARNOLD — OIG Excluded Provider (LOS ANGELES, CA, 1128a4)

CLYDE T JR ARNOLD — OIG Excluded Provider (LOS ANGELES, CA, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CLYDE T JR ARNOLD; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameCLYDE T JR ARNOLD
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyGENERAL PRACTICE
NPI1073723433
CityLOS ANGELES
StateCA
ZIP90019
Exclusion authority1128a4
Exclusion reasonFelony conviction relating to controlled substances
Exclusion date2019-10-20
SourceHHS-OIG LEIE

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