Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36386 | MO |
NPI | 1326197997 |
---|---|
Provider Name | Dr. James F. Mccaul |
First Address | Springfield, MO 65806-1131 |
Second Address | Springfield, MO 65806-1131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201940012 | (05) | MO |
F37851 | (02) | MO |