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Individual

DR. THOMAS CONDON MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(563) 359-1641
(563) 359-4634
Mailing address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(563) 359-1641
(563) 359-4634

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036085709
IL
208800000X
Urology Physician
Primary
29811
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110957
IA
01
1346229192
NPI# UROLOGICAL ASSC PC
IA
01
1346229192
NPI# UROLOGICAL ASSC PC
IL
05
3110957
IL
01
340010198
MEDICARE RAILROAD
IA
01
340016093
MEDICARE RAILROAD
IL
Enumeration date
05/24/2005
Last updated
09/30/2021
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