Individual
DAVID A. MCGATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
107 W BROADWAY ST, EL DORADO SPRINGS, MO 64744-1133
(888) 403-1071
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126766
MO
363LF0000X
Family Nurse Practitioner
2012029889
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012029889
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053660860
—
MO
01
—
431560263
TRICARE
MO
01
—
P01213219
RR MCR
MO
Enumeration date
09/07/2012
Last updated
05/21/2025
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