Individual
MALLORY L MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 ST PAUL DR STE 201, CHAMBERSBURG, PA 17201-1036
(717) 217-6944
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35079825
OH
207RC0000X
Cardiovascular Disease Physician
D0076409
MD
207RC0000X
Cardiovascular Disease Physician
Primary
MD457102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103121942
—
PA
05
—
2331444
—
OH
Enumeration date
09/20/2005
Last updated
09/08/2021
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