Individual
DR. JOHN DAVID MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3224 S 70TH ST, FORT SMITH, AR 72903-5050
(479) 785-2229
(479) 478-6745
Mailing address
PO BOX 10930, FORT SMITH, AR 72917-0930
(479) 785-2229
(479) 478-6745
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C-6638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114667001
—
AR
Enumeration date
07/25/2006
Last updated
11/29/2011
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