Individual
DR. DAVID A. MCCLUSKY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMORY UNIVERSITY SCHOOL OF MEDICINE, 1364 CLIFTON ROAD, N.E., ATLANTA, GA 30322-0001
(404) 321-6111
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
052605
GA
208600000X
Surgery Physician
ME 99244
FL
Other
Enumeration date
07/13/2007
Last updated
02/18/2014
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