Derek Mcclure
Prosthetist
3433 Broadway St Ste. # B3
American Canyon
, California 94503-1229
Derek Mcclure
Prosthetist
3433 Broadway St Ste. # B3
American Canyon
, California 94503-1229
(707) 643-6339
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Derek Mcclure
- 3433 Broadway St Ste. # B3
- American Canyon, CA
- Zip : 94503-1229
- Fax : (707) 643-6339
- Phone : (707) 643-2177
Second Address
- Derek Mcclure
- 3433 Broadway St Ste. # B3
- American Canyon, CA
- Zip : 94503-1229
- Fax : (707) 643-6339
- Phone : (707) 643-2177
Reviews
FAQs
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Where is Derek Mcclure ’s practice located?
What is Derek Mcclure ’s gender?
Is Derek Mcclure a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | C46700 | AZ |
National Provider Identifier
| NPI | 1477960466 |
|---|---|
| Provider Name | Derek Mcclure |
| First Address | American Canyon, CA 94503-1229 |
| Second Address | American Canyon, CA 94503-1229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2014 |
| Last Update Date | 22/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.