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NPI Code Detail

MEDICARE: DR. ROBERT E MCCOOL M.D.

MEDICARE: DR. ROBERT E MCCOOL 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
12084P0800XPsychiatry PhysicianR4H40MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13010997OTHERMOMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598876013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT E MCCOOL M.D.
Provider Business Mailing Address
First Line : 402 S SILVER SPRINGS RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7536
Country : US
Telephone Number : 573-334-1100
Fax Number : 573-334-8819
Provider Business Practice Location Address
First Line : 402 S SILVER SPRINGS RD
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7536
Country : US
Telephone Number : 573-334-1100
Fax Number : 573-334-8819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/14/2020

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