Individual
ROBERT DALE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027498
WA
208800000X
Urology Physician
MD00027498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039595
LABOR AND INDUSTRIES #
WA
05
—
8119356
—
WA
01
—
MC8447
BLUE SHIELD #
WA
05
—
MD894WA
—
AK
01
—
US0861498
AETNA SPECIALIST PIN
WA
Enumeration date
01/09/2007
Last updated
04/07/2008
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