# MARK D MCCLURE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932114659
- **Authorized official:** DR. MARK DOUGLAS MCCLURE DC (CHIROPRACTOR)
- **Authorized official phone:** (513) 423-7855

## Contact information

- **Practice address:** 182 N BREIEL BLVD, SUITE A, MIDDLETOWN, OH 45042-3802
- **Practice address phone:** (513) 423-7855
- **Practice address fax:** (513) 422-4103
- **Mailing address:** 182 N BREIEL BLVD, SUITE A, MIDDLETOWN, OH 45042-3802
- **Mailing address phone:** (513) 423-7855
- **Mailing address fax:** (513) 422-4103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1095 | OH | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0950958 | — | OH |