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NPI Code Detail

MEDICARE: DANA MADSEN CALCUTT DO

MEDICARE:   DANA  MADSEN CALCUTT  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
1207V00000XObstetrics & Gynecology PhysicianR6N76MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C15354OTHERRR MEDICARE GROUP
6160042445OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11124972OTHERCCN
31124972OTHERFIRST HEALTH
42576582OTHERCIGNA
5F69930OTHERMERCY
73854OTHERBLUE CROSS BLUE SHIELD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9278924OTHERHEALTHLINK

General Provider Information

NPI Number : 1790740942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MADSEN CALCUTT DO
Provider Business Mailing Address
First Line : 1014 MADISON ST
Second Line : OB/GYN ASSOCIATES
City : JEFFERSON CITY
State : MO
Zip : 65101-3458
Country : US
Telephone Number : 573-632-5510
Fax Number : 573-632-5810
Provider Business Practice Location Address
First Line : 1014 MADISON ST
Second Line : OB/GYN ASSOCIATES
City : JEFFERSON CITY
State : MO
Zip : 65101-3458
Country : US
Telephone Number : 573-632-5510
Fax Number : 573-632-5810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 06/17/2009

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Directions to “ DANA MADSEN CALCUTT DO” Practice Location

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