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Individual

ROGER DARREN MCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
201 GOVERNORS DR SW STE 400, HUNTSVILLE, AL 35801-5183
(256) 265-7246
(256) 265-7017
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0116
(256) 533-7064
(256) 704-0115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-070030
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000106929
AL
Enumeration date
05/07/2007
Last updated
04/10/2018
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