Provider Demographics
NPI:1235493404
Name:MCCLURE, MATTHEW WRIGHT (MD,)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WRIGHT
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 MARGUERITE AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1089
Mailing Address - Country:US
Mailing Address - Phone:415-810-7700
Mailing Address - Fax:
Practice Address - Street 1:270 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4811
Practice Address - Country:US
Practice Address - Phone:650-246-7389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76040207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine