Individual
CHARLES MCCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 SHERMAN, SUITE 510, DENVER, CO 80203-4405
(303) 377-6825
(303) 780-0787
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261411
—
CO
05
—
051284001
—
TX
05
—
100121110A
—
KS
05
—
109201400
—
WY
05
—
3506685
—
MT
05
—
7612563
—
NC
05
—
82622200
—
WI
05
—
84113438513
—
NE
05
—
L4939
—
NM
05
—
XPY203733
—
CA
Enumeration date
12/29/2005
Last updated
06/28/2012
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