Individual
DR. BRYAN R MCCLEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16325 OAKHURST DR, MONTE SERENO, CA 95030-4170
(831) 566-2407
(831) 763-9799
Mailing address
751 BLOSSOM HILL RD STE C, LOS GATOS, CA 95032-3583
(408) 356-6650
(408) 356-5566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G75967
CA
207L00000X
Anesthesiology Physician
Primary
75967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759670
—
CA
Enumeration date
07/29/2006
Last updated
10/20/2016
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