Organization
MACLAND LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C MACDOUGALL DR (OWNER)
(480) 833-6010
Entity
Organization
Contact information
Practice address
1525 N GENTRY CIR, MESA, AZ 85213-4001
(480) 833-6010
Mailing address
1525 N GENTRY CIR, MESA, AZ 85213-4001
(480) 833-6010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222414
—
AZ
Enumeration date
04/24/2006
Last updated
10/19/2007
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