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NPI Code Detail

MEDICARE: DR. PAUL THOMAS MCCAUGHEY D.O.

MEDICARE:  DR. PAUL THOMAS MCCAUGHEY  D.O.
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 Physician02179IA

General Provider Information

NPI Number : 1881683258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL THOMAS MCCAUGHEY D.O.
Provider Business Mailing Address
First Line : 512 HEARTHSIDE DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2042
Country : US
Telephone Number : 319-277-2805
Fax Number :
Provider Business Practice Location Address
First Line : 350 N GRANDVIEW AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-6388
Country : US
Telephone Number : 563-589-2410
Fax Number : 563-589-2632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 03/27/2008

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Directions to “ DR. PAUL THOMAS MCCAUGHEY D.O.” Practice Location

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