Provider Demographics
NPI:1306007083
Name:MCCLURE, AARON C (DO)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:C
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4925
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-4925
Mailing Address - Country:US
Mailing Address - Phone:515-643-8677
Mailing Address - Fax:515-643-8316
Practice Address - Street 1:1111 6TH AVE
Practice Address - Street 2:MAIN 3
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2613
Practice Address - Country:US
Practice Address - Phone:515-643-8677
Practice Address - Fax:515-643-8316
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-8414208000000X
IA4113208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics