Individual
DR. RICKY EDWARD MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
713 GOLF VIEW DRIVE, MEDFORD, OR 97504-9643
(541) 770-1225
(541) 770-1245
Mailing address
713 GOLF VIEW DRIVE, MEDFORD, OR 97504-9643
(541) 770-1225
(541) 770-1245
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00272
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00272
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1297890001
REGION D DMERC CIGNA HC
—
05
—
230478
—
OR
Enumeration date
09/26/2006
Last updated
01/05/2021
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