Organization
MCCLOUD MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SUE MCCLOUD APRN (APRN/EMPLOYEE)
(304) 784-2981
Entity
Organization
Contact information
Practice address
915 EAST FRK, DINGESS, WV 25671-6536
(304) 784-2981
Mailing address
915 EAST FRK, DINGESS, WV 25671-6536
(304) 784-2981
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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