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Individual

MR. BRUCE JON MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
111 COLCHESTER AVE, PATRICK 1 - RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-8873
Mailing address
111 COLCHESTER AVE, PATRICK 1 - RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-8873

Taxonomy

Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
051-0001315
VT
363AS0400X
Surgical Physician Assistant
055-0030731
VT

Other

Enumeration date
08/16/2006
Last updated
09/11/2025
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