Individual
DR. DAVID JONATHAN MCLARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
126 SMOKE HOUSE CT, STEPHENS CITY, VA 22655-2881
(540) 508-4305
Mailing address
126 SMOKE HOUSE CT, STEPHENS CITY, VA 22655-2881
(540) 508-4305
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0102204658
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
03425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201049700
—
IN
05
—
7100195300
—
KY
Enumeration date
10/05/2006
Last updated
12/09/2020
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