Individual
MR. MATTHEW H MCCLERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS KENTUCKY SSBN 737 GOLD, 2100 THRESHER AVE, SILVERDALE, WA 98315
(360) 315-4204
Mailing address
2364 NE ETON LN, BREMERTON, WA 98311-9591
(360) 692-2121
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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