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NPI Code Detail

MEDICARE: DR. DEBRA KAY NEUHARTH PHARM.D., D.O.

MEDICARE: DR. DEBRA KAY NEUHARTH PHARM.D., 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
1207Q00000XFamily Medicine Physician4461IA

General Provider Information

NPI Number : 1417941188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA KAY NEUHARTH PHARM.D., D.O.
Provider Business Mailing Address
First Line : 508 LIVINGSTON AVE
Second Line :
City : CRESTON
State : IA
Zip : 50801-3425
Country : US
Telephone Number : 641-203-5791
Fax Number :
Provider Business Practice Location Address
First Line : 800 S FILLMORE ST
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-1619
Country : US
Telephone Number : 641-342-5351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 04/08/2022

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