Vicki L Macy
Obstetrics & Gynecology in Ellensburg, WA. Individual provider (NPI-1).
NPI number1619985686
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1619985686
- Entity type
- Individual (NPI-1)
- Name
- Vicki L Macy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Mar 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | TL4276 | WY | Yes |
| 207V00000X | Obstetrics & Gynecology | MD60586432 | WA |
Practice location
700 E Manitoba AveSte 109
Ellensburg, WA 98926-3885
Phone 509-933-8720
Mailing address
2221 Elm StRawlins, WY 82301-5108
Phone 307-324-9098
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