Provider Demographics
NPI:1407859168
Name:MACRI, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MACRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 EXPOSITION BLVD
Mailing Address - Street 2:BLDG 700
Mailing Address - City:SACREMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4300
Mailing Address - Country:US
Mailing Address - Phone:916-736-3408
Mailing Address - Fax:916-233-4171
Practice Address - Street 1:2 MEDICAL PLAZA
Practice Address - Street 2:STE 235
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-782-1291
Practice Address - Fax:916-782-5992
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2011-10-13
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Provider Licenses
StateLicense IDTaxonomies
CAG39198207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00347886OtherRAILROAD MEDICARE PIN
CAA47735Medicare UPIN
CA00G391980Medicare PIN