Individual
ANNA MCCLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENERAL WING RD, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 773-1551
Mailing address
71 ALLEN ST, SUITE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0012499
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04176532
—
NY
05
—
1021096
—
VT
Enumeration date
05/08/2009
Last updated
08/08/2016
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