Individual
RYAN MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4915 E BASELINE RD STE 119, GILBERT, AZ 85234-2969
(480) 832-0480
(480) 832-0490
Mailing address
4915 E BASELINE RD STE 119, GILBERT, AZ 85234-2969
(480) 832-0480
(480) 832-0490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55873
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
09/10/2018
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