Individual
DR. MARK DOUGLAS MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
182 N BREIEL BLVD, SUITE A, MIDDLETOWN, OH 45042-3802
(513) 423-7855
(513) 422-4103
Mailing address
182 N BREIEL BLVD, SUITE A, MIDDLETOWN, OH 45042-3802
(513) 423-7855
(513) 422-4103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0950958
—
OH
Enumeration date
06/23/2006
Last updated
08/22/2011
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