Individual
MR. MATTHEW VINCENT MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG 111 C ST, CAMP LEJEUNE, NC 28542-0084
(910) 451-7821
(910) 451-7821
Mailing address
113 ASH PL, JACKSONVILLE, NC 28542-8564
(910) 451-7821
(910) 451-7821
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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