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Individual

DR. JOHN WILLIAM MCCLAREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., DACNB

Contact information

Practice address
12040 MCDERMOTT PLZ, STE 320, LA VISTA, NE 68128-2354
(402) 597-2869
(402) 597-2536
Mailing address
12040 MCDERMOTT PLZ, STE 320, LA VISTA, NE 68128-2354
(402) 597-2869
(402) 597-2536

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1269
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47084486100
NE
01
99512
BLUE CROSS BLUE SHIELD ID
NE
Enumeration date
04/26/2007
Last updated
03/09/2016
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