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NPI Code Detail

MEDICARE: DAVID R AUGHEY MD

MEDICARE:   DAVID R AUGHEY  MD
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
1208000000XPediatrics Physician29727MN

General Provider Information

NPI Number : 1538135520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID R AUGHEY MD
Provider Business Mailing Address
First Line : 2910 CENTRE POINTE DRIVE 35121A
Second Line : CHILDRENS HEALTH CARE
City : ROSEVILLE
State : MN
Zip : 55113
Country : US
Telephone Number : 651-855-2109
Fax Number : 651-855-2310
Provider Business Practice Location Address
First Line : 2425 CHICAGO AVENUE SOUTH
Second Line : CHILDRENS PRIMARY CLINIC TAMS
City : MINNEAPOLIS
State : MN
Zip : 55404
Country : US
Telephone Number : 612-813-6125
Fax Number : 612-872-2338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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