Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 18855 | AZ |
NPI | 1346336716 |
---|---|
Provider Name | Terry E Mclean |
First Address | Scottsdale, AZ 85260-6411 |
Second Address | Scottsdale, AZ 85260-6411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C50829 | (02) |