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NPI Code Detail

MEDICARE: DR. DAVID EARL OXFORD M.D.

MEDICARE: DR. DAVID EARL OXFORD 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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianR5D02MO

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 : 1376528539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID EARL OXFORD M.D.
Provider Business Mailing Address
First Line : 801 W HIGH POINT LN
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-8939
Country : US
Telephone Number : 573-445-6603
Fax Number :
Provider Business Practice Location Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-582-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2005
Last Update Date : 07/08/2007

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