Organization
MICHAEL J MCCAULEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J MCCAULEY MD (PRESIDENT)
(480) 413-0065
Entity
Organization
Contact information
Practice address
1950 S COUNTRY CLUB DR STE 102, MESA, AZ 85210-6044
(480) 413-0065
(480) 413-0069
Mailing address
1950 S COUNTRY CLUB DR STE 102, MESA, AZ 85210-6044
(480) 413-0065
(480) 413-0069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6258200001
MEDICARE DME PTAN
AZ
05
—
896201
—
AZ
Enumeration date
11/09/2006
Last updated
04/11/2016
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