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MARYBETH F MCCLURE DO NPI 1245372739


NPI Information

NPI: 1245372739
Provider Name: MARYBETH F MCCLURE DO
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1411 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544
Phone: (574) 259-5666
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MARYBETH F MCCLURE DO is a pediatrics in Mishawaka, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MARYBETH F MCCLURE DO NPI is 1245372739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1411 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544-626
Phone: (574) 259-5666

The provider's authorized official is Marybeth F Mcclure .
The authorized official title is President and has the following contact phone number (574) 259-5666.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics02001001AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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