Individual
BRUCE COLE MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00046642
WA
2084V0102X
Vascular Neurology Physician
MD00046642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210417
L&I AND CRIME VICTIMS
WA
05
—
1902837180
—
WA
01
—
4229874
AETNA
WA
01
—
5889MA
REGENCE
WA
Enumeration date
07/05/2006
Last updated
06/20/2019
Update your record
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