Daryl M. Mcclendon, M.d., P.c. | |
3851 Piper St Suite U466 Anchorage AK 99508-4684 | |
(907) 569-1333 | |
(907) 569-1433 |
Full Name | Daryl M. Mcclendon, M.d., P.c. |
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Speciality | Internal Medicine |
Location | 3851 Piper St, Anchorage, Alaska |
Authorized Official Name and Position | Daryl Mark Mcclendon (PRESIDENT) |
Authorized Official Contact | 9075691333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daryl M. Mcclendon, M.d., P.c. 3851 Piper St Suite U466 Anchorage AK 99508-4684 Ph: (907) 569-1333 | Daryl M. Mcclendon, M.d., P.c. 3851 Piper St Suite U466 Anchorage AK 99508-4684 Ph: (907) 569-1333 |
NPI Number | 1013145002 |
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Provider Enumeration Date | 06/29/2009 |
Last Update Date | 06/29/2009 |
Medicare PECOS PAC ID | 3173675162 |
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Medicare Enrollment ID | O20090722000677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013145002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 4215 (Alaska) | Primary |
Provider Name | Daryl M Mcclendon |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1013945948 PECOS PAC ID: 2264429141 Enrollment ID: I20090722000654 |
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