Provider Demographics
NPI:1578917332
Name:MCCLURG, ASHA BELLE (MD)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:BELLE
Last Name:MCCLURG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 LYME RD
Mailing Address - Street 2:APT 2
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1239
Mailing Address - Country:US
Mailing Address - Phone:970-443-0771
Mailing Address - Fax:
Practice Address - Street 1:50 NORTH MEDICAL DR
Practice Address - Street 2:UNIVERISTY OF UTAH HOSPITAL- DEPTARTMENT OF OBGYN
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132
Practice Address - Country:US
Practice Address - Phone:801-581-7647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program