Basic Information
Provider Information
NPI: 1740380229
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCLEAN
FirstName: BRIAN
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17 DAWN VIEW CT
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209041241
CountryCode: US
TelephoneNumber: 3016759873
FaxNumber:  
Practice Location
Address1: 6900 GEORGIA AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 203070003
CountryCode: US
TelephoneNumber: 2027820039
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X13451HIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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