Individual
PATRICK MCCLAUGHRY
Active
Individual
PATRICK MCCLAUGHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
882
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34831
BCBS
NE
05
—
47081304012
—
NE
01
—
68154A019
TRICARE
NE
01
—
970012362
RAILROAD MEDICARE
NE
Enumeration date
06/09/2005
Last updated
01/28/2009
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