Individual
DR. DEBRA A. MCCAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 CITY ROUTE 66, ST. ROBERT, MO 65584
(573) 336-5100
(573) 336-3118
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209731405
—
MO
Enumeration date
01/10/2007
Last updated
03/30/2015
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