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NPI Code Detail

MEDICARE: ANDREW NATHAN MCCAULLEY D.C.

MEDICARE:   ANDREW NATHAN MCCAULLEY  D.C.
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
1111N00000XChiropractor927SD

General Provider Information

NPI Number : 1093853558
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW NATHAN MCCAULLEY D.C.
Provider Business Mailing Address
First Line : 1919 W 57TH ST
Second Line : SUITE 103
City : SIOUX FALLS
State : SD
Zip : 57108-2711
Country : US
Telephone Number : 605-362-1225
Fax Number : 605-362-9525
Provider Business Practice Location Address
First Line : 1919 W 57TH ST
Second Line : SUITE 103
City : SIOUX FALLS
State : SD
Zip : 57108-2711
Country : US
Telephone Number : 605-362-1225
Fax Number : 605-362-9525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2007
Last Update Date : 07/08/2007

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Directions to “ ANDREW NATHAN MCCAULLEY D.C.” Practice Location

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