Individual
COLLIN MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15260 W MCDOWELL RD, GOODYEAR, AZ 85395-2530
(623) 207-7838
Mailing address
17722 N 79TH AVE APT 2125, GLENDALE, AZ 85308-8680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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