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DANIEL JOSEPH MCCLOUGH P.A

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023220167

Individual Registrant:
 DANIEL JOSEPH MCCLOUGH P.A
Gender: M
Not Sole Proprietor

Location and contact information for practice:
501 E STREET  WILLIAMS, CA 95932 US
Tel: 530-473-5641  Fax: 530-473-5675

Contact information for business:
4597 COUNTY RD FF  ORLAND, CA 95963 US
Tel: 530-865-3994  Fax: --

Registration Information:
NPI: 1023220167
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA13458

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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