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NPI Code Detail

MEDICARE: DR. MONCARM A FOUCHE M.D.

MEDICARE: DR. MONCARM A FOUCHE 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
1207R00000XInternal Medicine Physician36010IA
2207R00000XInternal Medicine Physician22262NE

General Provider Information

NPI Number : 1821082603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONCARM A FOUCHE M.D.
Provider Business Mailing Address
First Line : 2201 N BROADWELL AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-2153
Country : US
Telephone Number : 308-258-0577
Fax Number : 308-389-5111
Provider Business Practice Location Address
First Line : 2201 N BROADWELL AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-2153
Country : US
Telephone Number : 308-258-0577
Fax Number : 308-389-5111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 02/19/2015

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Directions to “ DR. MONCARM A FOUCHE M.D.” Practice Location

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