Individual
DR. THOMAS D MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3126 S JACKSON AVE, SUITE 200, JOPLIN, MO 64804-2534
(417) 625-2278
(417) 625-2277
Mailing address
3126 S JACKSON AVE, SUITE 200, JOPLIN, MO 64804-2534
(417) 625-2278
(417) 625-2277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
104885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104885
STATE LICENSE
MO
05
—
200964580A
—
KS
05
—
206864522
—
MO
Enumeration date
11/16/2005
Last updated
11/28/2012
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