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Individual

MR. HARLEY CLINT MCCREADY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4310 SOUTH GRAND, MUNROE, LA 71201
(318) 812-1000
Mailing address
410 HARN ST, MONROE, LA 71201
(318) 509-9407
(318) 325-3724

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
020260
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1900095
LA
Enumeration date
06/05/2006
Last updated
07/08/2007
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