Marcus Allan Macias
Contractor in Scottsbluff, NE. Individual provider (NPI-1).
NPI number1982404331
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1982404331
- Entity type
- Individual (NPI-1)
- Name
- Marcus Allan Macias
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2025
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
615 S Beltline Hwy E Ste BScottsbluff, NE 69361-3510
Phone 308-633-1912
Mailing address
1725 6th StGering, NE 69341-2926
Phone 308-225-2356
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