Organization
DENNIS E MCCLURE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL A VICKERS (OFFICE MANAGER)
(937) 898-9735
Entity
Organization
Contact information
Practice address
8654 N MAIN STREET, DAYTON, OH 45415-1328
(937) 898-9735
(937) 898-2447
Mailing address
8654 N MAIN STREET, DAYTON, OH 45415-1328
(937) 898-9735
(937) 898-2447
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
57244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9317151
MEDICARE LEGACY
OH
Enumeration date
10/16/2007
Last updated
10/19/2007
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