Male or Other

Dr. Ricky E. Mcclure DPM

Podiatrist in Medford, OR(View on Map)

Full Name

Dr. Ricky Edward Mcclure DPM

NPI Number

1255432530

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/26/2006

Specialties

(Taxonomies)

Code

213E00000X
213ES0103X

Primary Taxonomy

Yes
No

Licenses

State

Oregon

License Number

DP00272

Contact
Information

Purpose

Mailing
Location

Address

713 GOLF VIEW DRIVE
713 GOLF VIEW DRIVE

City

Medford
Medford

State

OR
OR

Postal Code

97504-9643
97504-9643

Country

US
US

Telephone Number

(541) 770-1225
(541) 770-1225

Identifiers

Identifier

1297890001
230478

Identifier State

Unknown
OR

Identifier Issuer

REGION D DMERC CIGNA HC
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/05/2021

Provider Address

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