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NPI Code Detail

MEDICARE: PHILIP E MCCUNE D.O.

MEDICARE: PHILIP E MCCUNE D.O.
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
1207Q00000XFamily Medicine Physician02712IA

General Provider Information

NPI Number : 1114038098
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP E MCCUNE D.O.
Provider Business Mailing Address
First Line : 255 W LUCAS ST
Second Line :
City : MARENGO
State : IA
Zip : 52301-1331
Country : US
Telephone Number : 319-741-6789
Fax Number : 319-741-6791
Provider Business Practice Location Address
First Line : 255 W LUCAS ST
Second Line :
City : MARENGO
State : IA
Zip : 52301-1331
Country : US
Telephone Number : 319-741-6789
Fax Number : 319-741-6791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/23/2013

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Directions to “ PHILIP E MCCUNE D.O.” Practice Location

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