Individual
DR. BRADLEY ALLEN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6135 S 90TH EAST AVE, TULSA, OK 74133-6365
(539) 367-1145
(539) 367-1224
Mailing address
6135 S 90TH EAST AVE, TULSA, OK 74133-6365
(539) 367-1145
(539) 367-1224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24252
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056450A
—
OK
01
—
2241877
CIGNA BEHAVIORAL HEALTH
—
01
—
7099685
AETNA BEHAVIORAL HEALTH
—
Enumeration date
01/23/2006
Last updated
04/04/2024
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