Individual
JEFFREY CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
3027 CENTRAL ST SE, OLYMPIA, WA 98501-3627
(360) 701-6994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1015579
MA
Other
Enumeration date
03/30/2017
Last updated
04/24/2023
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