Jeanie Larue McClanahan

Practice location

Address

115 Walnut St., Ellington, MO 63638

Phone

(573) 663-3177

Fax

(573) 663-3188

Mailing address

Hc1 Box 160b1, Centerville, MO 63633

Registered specialties

Registry record

NPI

1376637728

Entity type

Individual

Sex (as registered)

Female

NPI issued

2 Oct 2006

Record last updated

8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.