Philip J Fracica
Pulmonary Disease
601 E 14th St
Sedalia
, Missouri 65301-5972
Philip J Fracica
Pulmonary Disease
601 E 14th St
Sedalia
, Missouri 65301-5972
(660) 827-9488
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Philip J Fracica
- 601 E 14th St Po Box 1706
- Sedalia, MO
- Zip : 65301-5972
- Phone : (660) 827-9488
Second Address
- Philip J Fracica
- 601 E 14th St
- Sedalia, MO
- Zip : 65301-5972
- Phone : (660) 827-9488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 22761 | AZ |
National Provider Identifier
| NPI | 1043320278 |
|---|---|
| Provider Name | Philip J Fracica |
| First Address | Sedalia, MO 65301-5972 |
| Second Address | Sedalia, MO 65301-5972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 18/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 171843 | (05) | AZ |
| C83857 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.