Individual
DR. JURIS M MACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1006 N H ST, 5TH FLOOR, ABERDEEN, WA 98520-2521
(360) 537-6414
(360) 532-6878
Mailing address
1006 N H ST, 5TH FLOOR, ABERDEEN, WA 98520-2521
(360) 537-6414
(360) 532-6878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00010490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000800078
MEDICARE PROVIDER
WA
01
—
0012648
WA LI PROVIDER
WA
01
—
022161238
MEDICARE RR PROVIDER
WA
01
—
115141600
MEDICARE GROUP
WA
05
—
1532605
—
WA
01
—
335846100
US DEPT OF LABOR
WA
01
—
8914472
CRIME VICTIMS
WA
01
—
A003
TRICARE
WA
01
—
DC4850
RR MEDICARE
WA
01
—
MA1607
COUNTY
WA
Enumeration date
05/08/2006
Last updated
10/02/2013
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