Individual
DR. MICHAEL D CLAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HEALTH CIR, CARILION STONEWALL JACKSON HOSPITAL, RADIOLOGY DEPT, LEXINGTON, VA 24450-2448
(540) 458-3321
(540) 458-3333
Mailing address
5204 DOGWOOD FOREST DR, GLOUCESTER, VA 23061-3740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101-029957
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010231264
—
VA
Enumeration date
03/09/2006
Last updated
11/09/2008
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