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Individual

DR. JOHN E MCGINTY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 REID PKWY, SUITE 210, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01062763A
IN
207RC0000X
Cardiovascular Disease Physician
35.081311
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000676852
ANTHEM - RPA
05
200440850
IN
05
2410742
OH
Enumeration date
06/30/2006
Last updated
05/17/2021
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