Individual
ALEXANDRIA MONIQUE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
19 E SHAWNEE DR STE 3, MURPHYSBORO, IL 62966-7072
(618) 565-1000
(618) 565-1010
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016006075
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016006075
IL
Other
Enumeration date
04/22/2020
Last updated
09/10/2024
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