Individual
DR. BOELDRIDGE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 S OAK AVE STE 6, SAN LUIS, AZ 85336-0756
(928) 662-0409
(928) 662-0410
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
(928) 662-0407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
061624
GA
207L00000X
Anesthesiology Physician
14954
HI
207L00000X
Anesthesiology Physician
Primary
30909
AZ
207L00000X
Anesthesiology Physician
4301093420
MI
207L00000X
Anesthesiology Physician
44175
WI
207L00000X
Anesthesiology Physician
ME102957
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
30909
AZ
208VP0000X
Pain Medicine Physician
30909
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920703
—
AZ
Enumeration date
03/03/2006
Last updated
04/09/2026
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