Provider Demographics
NPI:1578575544
Name:MCCLINTIC, ALEX L (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:L
Last Name:MCCLINTIC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2426 LEE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24202-5967
Mailing Address - Country:US
Mailing Address - Phone:276-645-4520
Mailing Address - Fax:276-645-0349
Practice Address - Street 1:3130 LEE HWY STE 201
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-5943
Practice Address - Country:US
Practice Address - Phone:276-645-4520
Practice Address - Fax:276-645-0349
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV2171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine