Organization
STACEY D MCCLURE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY D MCCLURE MD (MEMBER/OWNER)
(602) 944-2271
Entity
Organization
Contact information
Practice address
9250 N 3RD ST, STE 4030, PHOENIX, AZ 85020-2437
(602) 944-2271
(602) 943-3420
Mailing address
9250 N 3RD ST, STE 4030, PHOENIX, AZ 85020-2437
(602) 944-2271
(602) 943-3420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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