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Individual

DR. JOSEPH C MCCONAUGHY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1677
(812) 424-8231
(812) 464-8352
Mailing address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1677
(812) 424-8231
(812) 464-8352

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01056985
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000324199
ANTHEM
05
200298790
IN
05
64079502
KY
Enumeration date
11/30/2006
Last updated
07/01/2010
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