Individual
DR. JAMES LEO MCGAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8884 ALPEN WAY, SALT LAKE CITY, UT 84121-6159
(801) 580-7071
Mailing address
8884 ALPEN WAY, SALT LAKE CITY, UT 84121-6159
(801) 580-7071
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301030979
MI
207T00000X
Neurological Surgery Physician
71333641205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301030979
STATE LICENSE
MI
01
—
71333641205
STATE LICENSE
UT
Enumeration date
12/11/2008
Last updated
12/11/2008
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