Organization
MCCLURE MEDICAL PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY ANN MCCLURE MD (OWNER)
(620) 218-1623
Entity
Organization
Contact information
Practice address
901 MAIN ST, SUITE 101, WINFIELD, KS 67156-3604
(620) 218-1623
(620) 402-5044
Mailing address
901 MAIN ST, SUITE 101, WINFIELD, KS 67156-3604
(620) 218-1623
(620) 402-5044
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
04-31220
KS
2086S0129X
Vascular Surgery Physician
04-31220
KS
Other
Enumeration date
03/18/2014
Last updated
10/08/2014
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