Whalio Doctors

NPI 1750901211

Mitchell Alexander McClellan, DO

Practitioner Aerospace Medicine Physician Eglin Afb, FL

Practice location

Address
307 Boatner Rd STE 114, Eglin Afb, FL 32542-1302
Phone
(850) 883-8754
Mailing address
Wpafb 4481 Sugar Maple Drive, Dayton, OH 45433-5529

Registered specialties (3)

Aerospace Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 34.016149 (OH)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 34.016149 (OH)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 34.016149 (OH)

Registry record

NPI
1750901211
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Apr 2020
Record last updated
5 Oct 2023

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.