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Organization

MAC INFORMATICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRELL MCCASLAND (MEMBER MANAGER)
(281) 462-7684
Entity
Organization

Contact information

Practice address
1919 S PEARL ST, DENVER, CO 80210-4040
(281) 462-7684
Mailing address
PO BOX 100551, DENVER, CO 80250-0551

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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