National Provider Identifier Database

FLYING PIG OFFROAD PLLC
Health Service


Contact Information

FLYING PIG OFFROAD PLLC
C/O DEBORA MCCLARY, M.D.
7776 W QUAIL AVE
PEORIA, AZ85382-3322
Phone: 480-707-9504
Fax: 602-581-7764
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for FLYING PIG OFFROAD PLLC

NPI Number 1801539317
Legal business name
LBN
FLYING PIG OFFROAD PLLC
Authorized official DEBORA MCCLARY - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 04/14/2022
Last updated 04/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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