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ROBERT M MACAULAY MD
Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1508846908
Individual Registrant: ROBERT M MACAULAY MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1906 BLAKE AVE GLENWOOD SPGS, CO 81601-4227 US
Tel: 970-945-6535 Fax: --
Tel: 970-945-6535 Fax: --
Contact information for business:
PO BOX 2725 GLENWOOD SPGS, CO 81602-2725 US
Tel: 970-945-1443 Fax: 970-947-9410
Tel: 970-945-1443 Fax: 970-947-9410
Registration Information:
NPI: 1508846908
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207ZP0102X | Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology | CO | 35978 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAILROAD MEDICARE | ZZ0001276 | 01 | |
| BLUE CROSS | PA636752 | 01 | |
| 01359785 | CO | 05 |
