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NPI Code Detail

MEDICARE: DR. EDWARD A CLINE DPM

MEDICARE: DR. EDWARD A CLINE DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist000745MO

Other Identifiers

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

General Provider Information

NPI Number : 1306849971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD A CLINE DPM
Provider Business Mailing Address
First Line : 6500 HOSPITAL DR
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6890
Country : US
Telephone Number : 573-629-3500
Fax Number : 573-629-3514
Provider Business Practice Location Address
First Line : 6500 HOSPITAL DR
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6890
Country : US
Telephone Number : 573-629-3500
Fax Number : 573-629-3514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 06/10/2011

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Directions to “ DR. EDWARD A CLINE DPM” Practice Location

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