Gail K Mcclave MD LLC

NPI #1740368901 in Bandon, Oregon

Provider Information

NPI Number: 1740368901
Entity Type: Organization
Organization Name: Gail K Mcclave MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2006
Last Updated: May 16, 2014

Practice Location

Address: 475 ELMIRA AVE SE
Address 2: SUITE 103
City: Bandon
State: Oregon
ZIP Code: 97411-7405
Phone: (541) 347-2111

Authorized Official

Name: GAIL KOCH MCCLAVE, MD
Title: OWNER
Phone: (541) 347-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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