Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20548 | WV |
N | 208600000X | Surgeon | 20548 | WV |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 20548 | WV |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 31804 | OK |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 41865 | IA |
NPI | 1124087960 |
---|---|
Provider Name | Arthur N.s. Mcunu |
First Address | Mason City, IA 50401-2926 |
Second Address | Mason City, IA 50401-2926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 16/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001719475 | BCBS MOUNTAIN STATE (01) | WV |
0129142000 | (05) | WV |
030028200 | BLACK LUNG (01) | WV |
200630830A | (05) | OK |
2255634 | (05) | OH |
3003044000 | (05) | WV |
550357050 | UNITED MINE WORKERS (01) | WV |
64036767 | (05) | KY |
H41848 | (02) | WV |
MC4055153 | (02) | WV |