Individual
MR. MARK M MACELWEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008
(602) 344-1119
(602) 344-1112
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
26806
AZ
208M00000X
Hospitalist Physician
DR40558
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455643
—
AZ
05
—
56488521
—
CO
01
—
86080015085259A966
TRIWEST
AZ
01
—
P00172747
RAILROAD MEDICARE
AZ
Enumeration date
12/05/2005
Last updated
07/23/2018
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