John David Clelland III, SUB IDC
NPI #1235561804 in Groton, Connecticut
Provider Information
- NPI Number
- 1235561804
- Entity Type
- Individual
- Name
- John David Clelland III, SUB IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUB IDC
- Enumeration Date
- Aug 6, 2013
- Last Updated
- Aug 6, 2013
Practice Location
- Address
- 1 WAHOO AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349-2324
- Phone
- (330) 573-1202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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