Individual
MARCUS ALLAN MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 S BELTLINE HWY E STE B, SCOTTSBLUFF, NE 69361-3510
(308) 633-1912
Mailing address
1725 6TH ST, GERING, NE 69341-2926
(308) 225-2356
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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