Provider Demographics
NPI:1952324402
Name:MCCLURE, THOMAS ALLAN (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALLAN
Last Name:MCCLURE
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 1:963 DENVER ST
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937
Mailing Address - Country:US
Mailing Address - Phone:406-270-5932
Mailing Address - Fax:406-751-6481
Practice Address - Street 1:75 CLAREMONT ST
Practice Address - Street 2:STE F
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-757-4189
Practice Address - Fax:406-751-6481
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG480692083X0100X
MTMT-PHYS-UC459012083X0100X
WAMD602226872083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G480690Medicaid
CAH76449Medicare UPIN
CA00G480690Medicare ID - Type Unspecified