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Organization

LIBERTY BELL FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MCKELLAR MCCLOY MD, MS, FAWM (MD, OWNER)
(509) 201-3563
Entity
Organization

Contact information

Practice address
214 GLOVER ST. NORTH, TWISP, WA 98856
(509) 201-3596
(509) 219-3329
Mailing address
63 YELLOW JACKET RD, TWISP, WA 98856-9635
(509) 201-3563

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366704710
WA
Enumeration date
02/21/2023
Last updated
02/21/2023
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