Doctor Name: | DR. MEGHAN ELIZABETH MCCLURE |
NPI Number: | 1932460227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A128581 |
Business Practice Address: | 11234 Anderson St Graduate Medical Education Office Csp 21005 Loma Linda, CA - 923542804 |
Business Phone Number: | 9095584952 |
Business Fax Number: | 9095584825 |
Mailing Address: | 10808 Foothill Blvd 160-206, RANCHO CUCAMONGA |
State: | CA |
Postal Code: | 917303889 |
Phone Number: | 9092946322 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2012 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A128581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |