Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G70807 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | G70807 | CA |
NPI | 1306817895 |
---|---|
Provider Name | Dr. James Rafael Mcclurg |
First Address | San Diego, CA 92121-3753 |
Second Address | San Diego, CA 92121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 31/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F19652 | (02) |