Individual
THOMAS G. MCCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 772-1505
(928) 772-6343
Mailing address
3200 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 772-1505
(928) 772-6343
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
005476
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116913561
RAILROAD MEDICARE
—
Enumeration date
06/10/2006
Last updated
02/21/2011
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