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NPI Code Detail

MEDICARE: DR. JURIS M MACS M.D.

MEDICARE:  DR. JURIS M MACS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD00010490WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3022161238OTHERWAMEDICARE RR PROVIDER
5115141600OTHERWAMEDICARE GROUP
6000800078OTHERWAMEDICARE PROVIDER
8DC4850OTHERWARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A003OTHERWATRICARE
2MA1607OTHERWACOUNTY
48914472OTHERWACRIME VICTIMS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9335846100OTHERWAUS DEPT OF LABOR
100012648OTHERWAWA LI PROVIDER

General Provider Information

NPI Number : 1568411494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JURIS M MACS M.D.
Provider Business Mailing Address
First Line : 1006 N H ST
Second Line : 5TH FLOOR
City : ABERDEEN
State : WA
Zip : 98520-2521
Country : US
Telephone Number : 360-537-6414
Fax Number : 360-532-6878
Provider Business Practice Location Address
First Line : 1006 N H ST
Second Line : 5TH FLOOR
City : ABERDEEN
State : WA
Zip : 98520-2521
Country : US
Telephone Number : 360-537-6414
Fax Number : 360-532-6878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 10/02/2013

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Directions to “ DR. JURIS M MACS M.D.” Practice Location

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