Organization
JAMES R MCCLURG MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RAFAEL MCCLURG M.D. (PRESIDENT)
(619) 297-9500
Entity
Organization
Contact information
Practice address
5830 OBERLIN DR STE 102, SAN DIEGO, CA 92121
(619) 297-9500
(619) 297-9508
Mailing address
5830 OBERLIN DR STE 102, SAN DIEGO, CA 92121-3753
(619) 297-9500
(619) 297-9508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G70807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306817895
NPI
—
Enumeration date
01/28/2009
Last updated
05/31/2018
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