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NPI Code Detail

MEDICARE: DR. JOHN THOMAS MCCARTHY D.C.

MEDICARE: DR. JOHN THOMAS MCCARTHY D.C.
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
1111NX0800XOrthopedic Chiropractor4634AZ

General Provider Information

NPI Number : 1619933959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN THOMAS MCCARTHY D.C.
Provider Business Mailing Address
First Line : 2001 N 4TH ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-4227
Country : US
Telephone Number : 928-526-5020
Fax Number : 928-527-4965
Provider Business Practice Location Address
First Line : 2001 N 4TH ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-4227
Country : US
Telephone Number : 928-526-5020
Fax Number : 928-527-4965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/08/2007

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