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Individual

DR. STANLEY WILLIAM MCCLURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6815 FRONTAGE RD, MERRIAM, KS 66204-1398
(913) 721-3387
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0437088
KS
207Y00000X
Otolaryngology Physician
2014008788
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014008788
LICENSE
MO
Enumeration date
06/13/2008
Last updated
07/26/2024
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