Thomas G. Mccleary
Geriatric Medicine
3200 N Windsong Dr
Prescott Valley
, Arizona 86314-2255
Thomas G. Mccleary
Geriatric Medicine
3200 N Windsong Dr
Prescott Valley
, Arizona 86314-2255
(928) 772-6343
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Thomas G. Mccleary
- 3200 N Windsong Dr
- Prescott Valley, AZ
- Zip : 86314-2255
- Fax : (928) 772-6343
- Phone : (928) 772-1505
Second Address
- Thomas G. Mccleary
- 3200 N Windsong Dr
- Prescott Valley, AZ
- Zip : 86314-2255
- Fax : (928) 772-6343
- Phone : (928) 772-1505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 005476 | AZ |
National Provider Identifier
| NPI | 1124069968 |
|---|---|
| Provider Name | Thomas G. Mccleary |
| First Address | Prescott Valley, AZ 86314-2255 |
| Second Address | Prescott Valley, AZ 86314-2255 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 21/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 116913561 | RAILROAD MEDICARE (01) | |
| E43493 | (02) |
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.