NPI | 1356664817 |
---|---|
Other Name | TONY MCCLUNG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9249100) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9249100) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL rn9249100) | |
Enumeration Date | 2010-03-11 |
Last Update Date | 2024-03-19 |