Individual
GAVIN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MACOM
Contact information
Practice address
206 S 3RD ST W, MISSOULA, MT 59801-2524
(406) 926-1881
Mailing address
243 S 3RD ST W, MISSOULA, MT 59801-2523
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-62270
MT
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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