Individual
MR. DAVID M MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W PINE ST, POPLAR BLUFF, MO 63901-5042
(573) 686-8199
(573) 686-8398
Mailing address
PO BOX 405461, ATLANTA, GA 30384-5461
(573) 686-8199
(573) 686-8398
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5E69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138741
HEALTHLINK
MO
01
—
P00206187
RAILROAD MEDICARE
MO
Enumeration date
04/20/2006
Last updated
01/08/2014
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