John M Mcclellan
Trauma Surgeon
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma
, Washington 98431-1000
John M Mcclellan
Trauma Surgeon
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma
, Washington 98431-1000
(253) 968-0236
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About
Features
Specialties
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- John M Mcclellan
- Madigan Army Medical Center 9040 Jackson Avenue
- Tacoma, WA
- Zip : 98431-1000
- Phone : (253) 968-0236
Second Address
- John M Mcclellan
- Madigan Army Medical Center 9040 Jackson Avenue
- Tacoma, WA
- Zip : 98431-1000
- Phone : (253) 968-0236
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Is John M Mcclellan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0127X | Trauma Surgeon | MD60977216 | WA |
National Provider Identifier
| NPI | 1245674225 |
|---|---|
| Provider Name | John M Mcclellan |
| First Address | Tacoma, WA 98431-1000 |
| Second Address | Tacoma, WA 98431-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2013 |
| Last Update Date | 17/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1245674225 | (05) | WA |
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.