MEDICARE: DAVID CATHCART DO

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	R8G51	MO

General Provider Information

NPI Number	:	1427151695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CATHCART DO

Provider Business Mailing Address
First Line	:	401 ILLINOIS
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64504
Country	:	US
Telephone Number	:	816-671-4880
Fax Number	:	816-238-4470

Provider Business Practice Location Address
First Line	:	401 ILLINOIS
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64504
Country	:	US
Telephone Number	:	816-671-4880
Fax Number	:	816-238-4470

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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