Individual
ROBERT MCCLATCHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DME PROVIDER
Contact information
Practice address
17865 MAIN ST STE B, DUMFRIES, VA 22026-2411
(703) 763-2687
(800) 584-0815
Mailing address
17865 MAIN ST STE B, DUMFRIES, VA 22026-2411
(540) 288-6828
(800) 584-0815
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206010050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206010050
MEDICAL EQUIPMENT SUPPLIER PERMIT
VA
Enumeration date
04/04/2018
Last updated
04/11/2019
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