| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 06/29/2009 |
| Medicare PECOS PAC ID | 3173675162 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013945948 PECOS PAC ID: 2264429141 Enrollment ID: I20090722000654 |
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