Individual
LAURA M GUNDER MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3301 BUCKINGHAM WAY, SAINT CLOUD, FL 34772-8747
(916) 790-0636
Mailing address
3301 BUCKINGHAM WAY, SAINT CLOUD, FL 34772-8747
(916) 790-0636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108898
FL
363AM0700X
Medical Physician Assistant
SC1391FP
SC
Other
Enumeration date
02/19/2009
Last updated
02/06/2016
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