Provider Demographics
NPI:1003609058
Name:MCCLUNG, JAMES GUNNAR (MA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GUNNAR
Last Name:MCCLUNG
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:GUNNAR
Other - Middle Name:
Other - Last Name:MCCLUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:145 TOWNSHIP ROAD 1134
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8828
Mailing Address - Country:US
Mailing Address - Phone:304-972-4216
Mailing Address - Fax:
Practice Address - Street 1:1745 3RD AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25755-0001
Practice Address - Country:US
Practice Address - Phone:304-696-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program