Individual
EDWARD THOMAS MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 BRYANT WILLIAMS DR FL 2, KLAMATH FALLS, OR 97601-1121
(541) 883-3391
(541) 883-2250
Mailing address
2200 BRYANT WILLIAMS DR FL 2, KLAMATH FALLS, OR 97601-1121
(541) 883-3391
(541) 883-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
MD11222
OR
2085U0001X
Diagnostic Ultrasound Physician
MD11222
OR
208600000X
Surgery Physician
MD11222
OR
2086S0102X
Surgical Critical Care Physician
MD11222
OR
2086S0120X
Pediatric Surgery Physician
MD11222
OR
2086S0127X
Trauma Surgery Physician
MD11222
OR
2086S0129X
Vascular Surgery Physician
MD11222
OR
208800000X
Urology Physician
MD11222
OR
2088P0231X
Pediatric Urology Physician
MD11222
OR
208C00000X
Colon & Rectal Surgery Physician
MD11222
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD11222
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006213
—
OR
05
—
USA238530
—
CA
Enumeration date
10/06/2006
Last updated
09/11/2025
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