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NPI Code Detail

MEDICARE: DR. JOHN H. MCVICKER M.D.

MEDICARE: DR. JOHN H. MCVICKER 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
1207T00000XNeurological Surgery Physician28237CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811917701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN H. MCVICKER M.D.
Provider Business Mailing Address
First Line : 8890 N UNION BLVD
Second Line : STE 160
City : COLORADO SPRINGS
State : CO
Zip : 80920-7799
Country : US
Telephone Number : 719-365-9950
Fax Number : 719-365-9969
Provider Business Practice Location Address
First Line : 1725 E BOULDER ST
Second Line : SUITE 101
City : COLORADO SPRINGS
State : CO
Zip : 80909-5768
Country : US
Telephone Number : 719-365-6300
Fax Number : 719-365-6094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 06/20/2013

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