Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS016970 | PA |
Y | 213EG0000X | General Practice | DS016970 | PA |
NPI | 1003021460 |
---|---|
Provider Name | James L Mccloy |
First Address | Mt Pleasant, PA 15666-2091 |
Second Address | Mt Pleasant, PA 15666-2091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |