Provider Demographics
NPI:1144262668
Name:MCNAUL, DAVID WAYNE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:MCNAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:ONE HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-884-4082
Practice Address - Fax:573-884-6661
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYC32302085R0202X
IDM-117872085R0202X
WY7201A2085R0202X
MO1047862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27727769Medicaid
WY313388OtherBCBS OF WYOMING MRI
WY121406300Medicaid
WY313375OtherBCBS OF WYOMING CRG
P00209462Medicare ID - Type UnspecifiedRR MEDICARE CRG
WY121406300Medicaid
ID20003193Medicare PIN
WY20195Medicare ID - Type UnspecifiedWY MEDICARE CRG
F71289Medicare UPIN
CO27727769Medicaid
WY313388OtherBCBS OF WYOMING MRI