Provider Demographics
NPI:1811976541
Name:MCCLUSKEY, RICHARD ARBUTHNOT (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ARBUTHNOT
Last Name:MCCLUSKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 TURNER ST
Mailing Address - Street 2:NBHC-M NAVAL AIR STATION PENSACOLA
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32508-5211
Mailing Address - Country:US
Mailing Address - Phone:850-452-5735
Mailing Address - Fax:
Practice Address - Street 1:450 TURNER ST
Practice Address - Street 2:NBHC-M NAVAL AIR STATION PENSACOLA
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-5211
Practice Address - Country:US
Practice Address - Phone:850-452-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK33322083A0100X, 2083X0100X
FLME665972083A0100X
FLME00665972083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine