MEDICARE: DARYN MCCLURE, M.D., PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346313905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARYN MCCLURE, M.D., PC

Provider Business Mailing Address
First Line	:	20715 E OCOTILLO RD
Second Line	:	SUITE 102
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-6118
Country	:	US
Telephone Number	:	480-987-0987
Fax Number	:	480-987-0940

Provider Business Practice Location Address
First Line	:	20715 E OCOTILLO RD
Second Line	:	SUITE 102
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-6118
Country	:	US
Telephone Number	:	480-987-0987
Fax Number	:	480-987-0940

Authorized Official
Title or Position	:	CEO
Name	:	DARYN N MCCLURE
Credential	:	M.D.
Telephone Number	:	480-987-0987

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/18/2011

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