Organization Name: | JAMES Q. MCCLELLAND, DPM, PPC |
NPI Number: | 1043301153 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA LANDIS (OFFICE) |
Mailing Address: | 2002 12th Ave Nw Suite F Ardmore |
State: | OK US |
Postal Code: | 734011227 |
Phone Number: | 5802230718 |
Fax Number: | 5802230719 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |