Organization
MCCLURE SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN W MCCLURE III M.D. (OWNER)
(318) 253-7509
Entity
Organization
Contact information
Practice address
4231 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-4711
(318) 253-7509
(318) 253-8155
Mailing address
4231 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-4711
(318) 253-7509
(318) 253-8155
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD.09293R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934810
—
LA
Enumeration date
12/09/2008
Last updated
12/09/2008
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