Doctor Name: | DR. BYRON D MCCLURE |
NPI Number: | 1003133398 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 31631 |
Business Practice Address: | 2401 Se Hwy 36 Cameron, MO - 64429 |
Business Phone Number: | 8166322415 |
Business Fax Number: | |
Mailing Address: | Po Box 151, CAMERON |
State: | MO |
Postal Code: | 644290151 |
Phone Number: | 8166322415 |
Fax Number: | 8166326343 |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 31631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |