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Individual

DR. DAVID LEE CATHCART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
948 E US HIGHWAY 54, CAMDENTON, MO 65020-6834
(573) 346-4446
(573) 346-7501
Mailing address
PO BOX 777, 304 W. WASHINGTON AVENUE, RICHLAND, MO 65556-0777
(573) 765-5131
(573) 765-3122

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109547
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002013314
PTAN
MO
05
208209049
MO
01
431560263
TRICARE WEST
MO
01
P00836332
RAILROAD MEDICARE
Enumeration date
06/14/2005
Last updated
07/03/2016
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