Individual
DR. BRUCE MARTIN MCCLENATHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 REILLY ROAD MCXC-MED-ALL, WOAMCK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8620
(910) 907-8610
Mailing address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD-11518
HI
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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