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1821388562

NPI Code Detail

MEDICARE: MATTHEW BRIAN MCAULIFFE MD

MEDICARE: MATTHEW BRIAN MCAULIFFE 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
1	208100000X	Physical Medicine & Rehabilitation Physician	17333	NV
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	DR.00057666	CO
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	17333	NV
4	208100000X	Physical Medicine & Rehabilitation Physician	60185	AZ

General Provider Information

NPI Number	:	1821388562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW BRIAN MCAULIFFE MD

Provider Business Mailing Address
First Line	:	1776 WOODSTEAD CT STE 208
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1480
Country	:	US
Telephone Number	:	877-749-7428
Fax Number	:	512-628-3314

Provider Business Practice Location Address
First Line	:	8850 E PIMA CENTER PKWY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4619
Country	:	US
Telephone Number	:	877-749-7428
Fax Number	:	512-628-3314

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	11/24/2020

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Directions to “ MATTHEW BRIAN MCAULIFFE MD” Practice Location

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