Individual
ROBERT W MCCLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1818
(304) 831-1815
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1818
(304) 831-1815
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1856
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000186000
WELFARE
WV
05
—
2265374
—
OH
Enumeration date
12/22/2005
Last updated
09/20/2007
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