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Individual

DR. GREGORY DEWAYNE MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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