Individual
THOMAS BUCKY MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Mailing address
16222 URSA MINOR CIR, EAGLE RIVER, AK 99577-7311
(405) 885-5103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134769
AK
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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