Individual
DR. GORDON MCCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
385 N 500 W, PROVO, UT 84601-2681
(801) 373-1035
Mailing address
385 N 500 W, PROVO, UT 84601-2681
(801) 373-1035
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
150410-1202
UT
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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