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NPI Code Detail

MEDICARE: TERENCE MCDONALD M.D.

MEDICARE: TERENCE MCDONALD 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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician04-21169KS

General Provider Information

NPI Number : 1205915006
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERENCE MCDONALD M.D.
Provider Business Mailing Address
First Line : PO BOX 801660
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-0001
Country : US
Telephone Number : 316-962-2239
Fax Number :
Provider Business Practice Location Address
First Line : 550 N HILLSIDE ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-4910
Country : US
Telephone Number : 316-962-2239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 07/08/2007

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