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Individual

DR. RICHARD MCCLELLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4100
Mailing address
PO BOX 34936, DEPT 3028, SEATTLE, WA 98124-1936
(888) 398-2473

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
000-20823
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168561
WA L & I
05
8550006
WA
01
910861251
PREMERA BC
01
A004
CHAMPUS
01
E42460
GROUP HEALTH
01
MC4128
REGENCE BS
Enumeration date
06/12/2006
Last updated
08/13/2012
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