Organization
MCLEAN & D G CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN A MCLEAN ANP (NURSE PRACTIONER)
(870) 777-0007
Entity
Organization
Contact information
Practice address
104 E 16TH ST, HOPE, AR 71801-7424
(870) 777-0007
(870) 777-0061
Mailing address
104 E 16TH ST, HOPE, AR 71801-7424
(870) 777-0007
(870) 777-0061
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A01251
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102612001
—
AR
01
—
14169000002
QUALCHOICE
AR
01
—
5T414
ARKANSAS BCBS
AR
Enumeration date
12/07/2006
Last updated
06/23/2008
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