Individual
INGE J MCCLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4743 ARAPAHOE AVE STE 201, BOULDER, CO 80303-1128
(303) 442-2395
(303) 442-1073
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 442-2395
(303) 442-1073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0722
NH
363AM0700X
Medical Physician Assistant
Primary
PA.0003682
CO
Other
Enumeration date
03/13/2009
Last updated
08/06/2019
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