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NPI Code Detail

MEDICARE: DR. MARTIN STUART MCLEOD D.C.

MEDICARE:  DR. MARTIN STUART MCLEOD  D.C.
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
1111N00000XChiropractorDC15999CA

General Provider Information

NPI Number : 1023092970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN STUART MCLEOD D.C.
Provider Business Mailing Address
First Line : 411 N INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4614
Country : US
Telephone Number : 909-621-1208
Fax Number :
Provider Business Practice Location Address
First Line : 411 N INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4614
Country : US
Telephone Number : 909-621-1208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARTIN STUART MCLEOD D.C.” Practice Location

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