Individual
DR. ALBERT A. MCCLAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 786-4824
(315) 786-4915
Mailing address
578 REISLING TERRACE, CHULA VISTA, CA 91913
(619) 267-8440
(877) 795-8215
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
288937
NY
207Y00000X
Otolaryngology Physician
G71625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G716250
—
CA
Enumeration date
08/30/2006
Last updated
07/05/2017
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