Individual
MARTIN BARRY MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15421 CLAYTON RD, SUITE G-2, BALLWIN, MO 63011-3161
(636) 227-2707
(636) 227-1216
Mailing address
15421 CLAYTON RD, SUITE G-2, BALLWIN, MO 63011-3161
(636) 227-2707
(636) 227-1216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7737
MO
Other
Enumeration date
10/13/2005
Last updated
05/01/2012
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