Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John William McClane IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760883060

John William McClane IV is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

39580 S Lago Del Oro Pkwy
Tucson, AZ 85739-1091
Phone: (520) 624-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (510) 725-9203

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 007970 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760883060
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2014
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020

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