Individual
DANIEL FENDRICH MCCARTHY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2120
(812) 254-2760
(812) 254-8636
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01042187A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190470
ANTHEM
IN
01
—
050052715
RAILROAD MEDICARE
IN
05
—
200059720
—
IN
Enumeration date
02/14/2006
Last updated
01/02/2021
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