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SHANE E MACAULAY
3131 NASSAU ST EVERETT WA 982014137
SHANE E MACAULAY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1255353710. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 446272355. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is RADIOLOGY CONSULTANTS OF WASHINGTON INC PS. The address is 3131 NASSAU ST, , EVERETT, WA, 982014137. The zip code is 982014137.
|Nation Provider ID||1255353710|
|PAC ID by PECOS||446272355|
|Professional Enrollment ID||I20051220000511|
|Name||SHANE E MACAULAY|
|Medical School Name||UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE|
|Primary Specialty||DIAGNOSTIC RADIOLOGY|
|All secondary specialties|
|Organization Name||RADIOLOGY CONSULTANTS OF WASHINGTON INC PS|
|Group Practice PAC ID||6608763859|
|Number of Group Practice members||12|
|Address||3131 NASSAU ST, , EVERETT, WA, 982014137|
|Hospital affiliation LBN|