Shane Nathaniel Mccauley MD

NPI 1083603229 - Military Health Care Provider - 171000000X

NPI Details
NPI 1083603229
Gender Male
Enumeration Date 10/20/2005
Last Updated 09/24/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
243 CURTISS RD
100
BARKSDALE AFB LA, 71110-2425, US
Phone (318) 456-4318
Fax
Business Location
121 BALTIC DR
SHREVEPORT LA, 71115-2912, US
Phone
Fax
Toxanomy
Taxonomy Code 171000000X
License State Indiana
License Number 01059435A
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According to our database, Dr. Shane Nathaniel Mccauley MD NPI is 1083603229, taxonomy code is 171000000X and license number is 01059435A, license state is located at Indiana. Shane Nathaniel Mccauley MD physically located at 243 Curtiss Rd, Barksdale Afb LA, 71110-2425. NPI Number Shane Nathaniel Mccauley MD has the Individual type.

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1083603229 NPI number is provided on an as is basis without warranty of any kind. 1083603229 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Nathaniel Mccauley MD are for informational purposes only.