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Individual

DR. GREGORY DEWAYNE MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 LAKEVIEW AVE, PUEBLO, CO 81004-3508
(719) 557-3777
(719) 557-3775
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0055743
CO
208600000X
Surgery Physician
1489-TEP
WI
208600000X
Surgery Physician
2013025596
MO
208600000X
Surgery Physician
Primary
DR.0055743
CO
208600000X
Surgery Physician
ME101924
FL
208600000X
Surgery Physician
N3408
TX

Other

Enumeration date
05/05/2006
Last updated
10/04/2024
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