Provider Demographics
NPI:1154724938
Name:MACAULAY, HUGH HOLLEMAN III
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:HOLLEMAN
Last Name:MACAULAY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 S BANNOCK ST
Mailing Address - Street 2:SUITE 810
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2432
Mailing Address - Country:US
Mailing Address - Phone:720-282-9777
Mailing Address - Fax:303-722-0613
Practice Address - Street 1:3333 S BANNOCK ST
Practice Address - Street 2:SUITE 810
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2432
Practice Address - Country:US
Practice Address - Phone:720-282-9777
Practice Address - Fax:303-722-0613
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84-1458598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine