Individual
DR. MARK ALLEN MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10711 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 891-8499
Mailing address
10711 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 891-8499
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101041309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6079041
—
VA
Enumeration date
02/22/2007
Last updated
04/06/2011
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