Individual
GLEN ALAN MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247
(513) 354-3700
(513) 354-7651
Mailing address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TP803
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35087210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64113525
—
KY
Enumeration date
05/15/2006
Last updated
05/04/2022
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