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NPI Code Detail

MEDICARE: DR. DAVID A FOX II M.D.

MEDICARE:  DR. DAVID A FOX II 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
1207P00000XEmergency Medicine PhysicianMD494632PA
2207Q00000XFamily Medicine Physician2005024752MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00272237OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2202070OTHERMOBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4720478OTHERHEALTHLINK

General Provider Information

NPI Number : 1689639619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A FOX II M.D.
Provider Business Mailing Address
First Line : 1300 N ONE MILE RD
Second Line : SUITE 3
City : DEXTER
State : MO
Zip : 63841-1042
Country : US
Telephone Number : 573-624-1640
Fax Number :
Provider Business Practice Location Address
First Line : 2016 S MAIN ST
Second Line :
City : MARYVILLE
State : MO
Zip : 64468-2655
Country : US
Telephone Number : 660-562-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 05/14/2026

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Directions to “ DR. DAVID A FOX II M.D.” Practice Location

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