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NPI Code Detail

MEDICARE: DAWN R MCCRACKEN M.D.

MEDICARE:   DAWN R MCCRACKEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD058231LPA

General Provider Information

NPI Number : 1457313165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN R MCCRACKEN M.D.
Provider Business Mailing Address
First Line : 800 PLAZA DR
Second Line : SUITE 280
City : BELLE VERNON
State : PA
Zip : 15012-4019
Country : US
Telephone Number : 724-379-6337
Fax Number : 724-379-6399
Provider Business Practice Location Address
First Line : 800 PLAZA DR
Second Line : SUITE 280
City : BELLE VERNON
State : PA
Zip : 15012-4019
Country : US
Telephone Number : 724-379-6337
Fax Number : 724-379-6399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 07/08/2007

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Directions to “ DAWN R MCCRACKEN M.D.” Practice Location

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