Provider Demographics
NPI:1841220316
Name:TODD, DAVID O (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:O
Last Name:TODD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-0661
Mailing Address - Country:US
Mailing Address - Phone:660-627-1812
Mailing Address - Fax:660-627-4799
Practice Address - Street 1:27176 ST HWY 6 E
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501
Practice Address - Country:US
Practice Address - Phone:660-627-1812
Practice Address - Fax:660-627-4799
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR6207204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE19301Medicare UPIN