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1659376861

NPI Code Detail

MEDICARE: DR. CRAIG BROWN MCCLURE MD

MEDICARE: DR. CRAIG BROWN MCCLURE MD

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	2085R0204X	Vascular & Interventional Radiology Physician	04-21340	KS
2	2085R0204X	Vascular & Interventional Radiology Physician	R7J38	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG BROWN MCCLURE MD

Provider Business Mailing Address
First Line	:	5800 FOXRIDGE DR
Second Line	:	STE 240
City	:	MISSION
State	:	KS
Zip	:	66202-2338
Country	:	US
Telephone Number	:	913-261-3153
Fax Number	:	913-262-3295

Provider Business Practice Location Address
First Line	:	8929 PARALLEL PKWY
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1689
Country	:	US
Telephone Number	:	913-596-4862
Fax Number	:	913-596-4635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/01/2013

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Directions to “ DR. CRAIG BROWN MCCLURE MD” Practice Location

Language	Start Address	Practice Location

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