Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD024531E | PA |
N | 208600000X | Surgeon | MD024531E | PA |
Y | 2086S0102X | Surgical Critical Care | MD024531E | PA |
NPI | 1104934413 |
---|---|
Provider Name | Clyde E Mcauley |
First Address | Pittsburgh, PA 15224-1722 |
Second Address | Pittsburgh, PA 15224-1722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010037780004 | (05) | PA |
0852699 | (05) | OH |
3810008367 | (05) | WV |
E27618 | (02) | PA |