Provider Demographics
NPI:1306817895
Name:MCCLURG, JAMES RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAFAEL
Last Name:MCCLURG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5830 OBERLIN DR STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3753
Mailing Address - Country:US
Mailing Address - Phone:619-297-9500
Mailing Address - Fax:619-297-9508
Practice Address - Street 1:5830 OBERLIN DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:619-297-9500
Practice Address - Fax:619-297-9508
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG70807207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F19652Medicare UPIN