Individual
DR. ALLEN W MCCLURE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4239 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-4771
(318) 253-7509
(318) 253-8155
Mailing address
4239 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-4771
(318) 253-7509
(318) 253-8155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
09293R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934810
—
LA
Enumeration date
06/28/2005
Last updated
08/28/2008
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