John William McClane IV
John William McClane IV is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
Tucson, AZNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 200 Mullins Dr, Lebanon, OR 97355-3983 — (510) 725-9203
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 007970 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1760883060 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2014 |
| Last updated in NPPES | April 27, 2020 |
| Certification date | April 27, 2020 |
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