MEDICARE: DR. FRANK BARNEY MCDONALD 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
1	111N00000X	Chiropractor	5839	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0248090	OTHER	AZ	BLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number	:	1194783555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK BARNEY MCDONALD D.C.

Provider Business Mailing Address
First Line	:	7054 E COCHISE RD
Second Line	:	SUITE B100
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-4546
Country	:	US
Telephone Number	:	480-596-6700
Fax Number	:	480-596-8889

Provider Business Practice Location Address
First Line	:	7054 E COCHISE RD
Second Line	:	SUITE B100
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-4546
Country	:	US
Telephone Number	:	480-596-6700
Fax Number	:	480-596-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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