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On his return to Arkansas, he opened a private practice and was the chief assistant in opthalmological surgery at the Little Rock Veterans Hospital. He was active in all levels of the Arkansas and American Medical Associations as well as the American Board of Opthalmology, the College of Surgeons, International Surgeons, and Cataract Refractive Surgeons. He served on the teaching faculty at the University of Arkansas Medical School at Little Rock from 1948 to 1958.
 
On his return to Arkansas, he opened a private practice and was the chief assistant in opthalmological surgery at the Little Rock Veterans Hospital. He was active in all levels of the Arkansas and American Medical Associations as well as the American Board of Opthalmology, the College of Surgeons, International Surgeons, and Cataract Refractive Surgeons. He served on the teaching faculty at the University of Arkansas Medical School at Little Rock from 1948 to 1958.
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Alford's successful medical practice notably served both black and white patients.<ref name=encyclopediaofarkansas/>
    
==Political career==
 
==Political career==
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