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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 ID1255353710
PAC ID by PECOS446272355
Professional Enrollment IDI20051220000511
NameSHANE E MACAULAY
Medical School NameUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year1988
Primary SpecialtyDIAGNOSTIC RADIOLOGY
All secondary specialties
Organization NameRADIOLOGY CONSULTANTS OF WASHINGTON INC PS
Group Practice PAC ID6608763859
Number of Group Practice members12
Address3131 NASSAU ST, , EVERETT, WA, 982014137
Hospital affiliation LBN
Graduation Year1988
Contact Number4252386205
Email Address[Show_Email_ID]

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