Individual
JASON MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
156 WEST AVE, EMERGENCY DEPARTMENT, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6017
Mailing address
156 WEST AVE, EMERGENCY DEPARTMENT, BROCKPORT, NY 14420-1229
(585) 395-6095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
230745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02568514
—
NY
01
—
230745-2 EM
WORKER'S COMPENSATION
NY
Enumeration date
06/09/2006
Last updated
02/13/2009
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