Individual
GREGORY MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6159
(928) 639-5066
Mailing address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-6159
(928) 639-5066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28769
SC
207L00000X
Anesthesiology Physician
Primary
36617
AZ
207L00000X
Anesthesiology Physician
ME 102756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155031900
US DEPT OF LABOR
SC
01
—
192356
MEDCOST
SC
05
—
287692
—
SC
01
—
570835798
STANDARD TAX ID
SC
05
—
5905854
—
NC
Enumeration date
07/25/2006
Last updated
09/23/2008
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