Individual
MATTHEW R MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 642-3376
Mailing address
12120 STATE LINE RD # 250, LEAWOOD, KS 66209-1254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015043480
MO
207Q00000X
Family Medicine Physician
24519
OK
Other
Enumeration date
02/08/2007
Last updated
12/06/2018
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