Nathaniel H. Mcclellan MT
Specialist in Portland, ME(View on Map)
Full Name
Nathaniel H Mcclellan MT
NPI Number
1295856490
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/03/2007
Specialties
(Taxonomies)Licenses
State
Maine
License Number
MT3072
Contact
Information
Purpose
Mailing
Location
Address
19 TEMPLE ST
19 TEMPLE ST
City
Portland
Portland
State
ME
ME
Postal Code
04101-4011
04101-4011
Country
US
US
Telephone Number
(207) 773-8393
(207) 773-8393
Identifiers
Identifier
099082
Identifier State
ME
Identifier Issuer
ANTHEM
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007