Individual
NATHAN MCCLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
720 E THUNDERBIRD RD STE 3, PHOENIX, AZ 85022-5396
(480) 531-1681
Mailing address
16772 W BELL RD STE 110-619, SURPRISE, AZ 85374-9702
(909) 632-3409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72686
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/26/2019
Last updated
04/04/2024
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