Individual
STEVEN GEORGE MCCLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 SMITHFIELD AVE, AXIOM OCCUPATIONAL HEALTH LLC, PAWTUCKET, RI 02860-3474
(401) 312-0545
(401) 725-8064
Mailing address
100 SMITHFIELD AVE, AXIOM OCCUPATIONAL HEALTH LLC, PAWTUCKET, RI 02860-3497
(401) 312-0545
(401) 312-0954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05160
RI
2083X0100X
Occupational Medicine Physician
Primary
05160
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50318
STATE LICENSE
MA
01
—
RI05160
STATE LICENSE
RI
Enumeration date
09/20/2005
Last updated
03/22/2010
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