MEDICARE: DR. ROBERT D MCCURRY 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
1	207Q00000X	Family Medicine Physician	32118	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285634121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT D MCCURRY D.O.

Provider Business Mailing Address
First Line	:	1210 MAIN ST
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-3506
Country	:	US
Telephone Number	:	719-275-3000
Fax Number	:	719-275-6939

Provider Business Practice Location Address
First Line	:	1210 MAIN ST
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-3506
Country	:	US
Telephone Number	:	719-275-3000
Fax Number	:	719-275-6939

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/12/2014

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