Provider Demographics
NPI:1639106727
Name:MCLEAN, ARTHUR CORWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:CORWIN
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:1551 BISHOP ST STE 520
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4665
Practice Address - Country:US
Practice Address - Phone:805-543-2744
Practice Address - Fax:805-543-0539
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC36751207K00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFD328ZOtherMEDICARE PTAN