Individual
RALPH E MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 EDISON ST, BRUSH, CO 80723-1640
(970) 521-3223
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22492
CO
207Q00000X
Family Medicine Physician
Primary
22492
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224922
—
CO
Enumeration date
03/21/2006
Last updated
03/17/2008
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