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NPI Code Detail

MEDICARE: DR. MARSHALL EDWARD MCCABE III MD

MEDICARE:  DR. MARSHALL EDWARD MCCABE III MD
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
1207RG0100XGastroenterology PhysicianMD00023393WA

General Provider Information

NPI Number : 1831191162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHALL EDWARD MCCABE III MD
Provider Business Mailing Address
First Line : 406 BLACK HILLS LN SW
Second Line : STE A
City : OLYMPIA
State : WA
Zip : 98502-8144
Country : US
Telephone Number : 360-754-1735
Fax Number : 360-704-3404
Provider Business Practice Location Address
First Line : 406 BLACK HILLS LN SW
Second Line : STE A
City : OLYMPIA
State : WA
Zip : 98502-8144
Country : US
Telephone Number : 360-754-1735
Fax Number : 360-704-3404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/27/2009

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Directions to “ DR. MARSHALL EDWARD MCCABE III MD” Practice Location

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