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Individual
DR. RICKY EDWARD MCCLURE
Active
Individual
DR. RICKY EDWARD MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00272
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00272
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1297890001
REGION D DMERC CIGNA HC
—
05
—
230478
—
OR
Enumeration date
09/26/2006
Last updated
01/05/2021
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