Doctor Name: | EDWARD THOMAS MCCLURE |
NPI Number: | 1013004548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD11222 |
Business Practice Address: | 2200 Bryant Williams Dr Fl 2 Klamath Falls, OR - 976011121 |
Business Phone Number: | 5418833391 |
Business Fax Number: | 5418832250 |
Mailing Address: | 2200 Bryant Williams Dr Fl 2, KLAMATH FALLS |
State: | OR |
Postal Code: | 976011121 |
Phone Number: | 5418833391 |
Fax Number: | 5418832250 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | MD11222 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |