National Provider Identifier
Jason McClung, MD
Jason McClung, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Brockport, NY and a listed phone number of (585) 395-6095.
Profile Overview
- NPI
- 1336180744
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- June 09, 2006
- Last Updated
- February 13, 2009
Practice Location
- 156 West Ave
- Emergency Department
- Brockport, NY 14420-1229
Phone: (585) 395-6095
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1336180744
- Entity Type
- Individual
- Last Name
- McClung
- First Name
- Jason
- Credential
- MD
- Mailing Street Address
- 156 West Ave
- Mailing Address Line 2
- Emergency Department
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 395-6095
- Practice Street Address
- 156 West Ave
- Practice Address Line 2
- Emergency Department
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 395-6095
- Practice Fax
- (585) 395-6017
- Enumeration Date
- June 09, 2006
- Last Updated
- February 13, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 230745-2 EM (NY, Worker'S Compensation), 02568514 (NY)