Individual
DR. DONALD R MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0935
(602) 933-0610
Mailing address
1919 E THOMAS RD, BLDG 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8030
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
182353-1205
UT
2080P0205X
Pediatric Endocrinology Physician
Primary
42956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545350
—
AZ
Enumeration date
01/24/2006
Last updated
01/11/2013
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