Doctor Name: | JAMES C MCCLAY |
NPI Number: | 1790712354 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 21666 |
Business Practice Address: | Emile 42nd St Omaha, NE - 681980001 |
Business Phone Number: | 4025594020 |
Business Fax Number: | 4025598333 |
Mailing Address: | 983331 Nebraska Medical Ctr, OMAHA |
State: | NE |
Postal Code: | 681983331 |
Phone Number: | 4025594020 |
Fax Number: | 4025598333 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21666 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |