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ROBERT M MACAULAY MD

Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508846908

Individual Registrant:
 ROBERT M MACAULAY MD
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: --

Contact information for business:
PO BOX 2725  GLENWOOD SPGS, CO 81602-2725 US
Tel: 970-945-1443  Fax: 970-947-9410

Registration Information:
NPI: 1508846908
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0102XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology & Clinical Pathology
CO35978

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREZZ000127601
BLUE CROSSPA63675201
01359785CO05




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