| Doctor Name: | DR. RAEANN HEATHER MACALMA |
| NPI Number: | 1073815205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 01068979A |
| Business Practice Address: | 101 Bodin Cir Travis Afb, CA - 945351809 |
| Business Phone Number: | 7606726147 |
| Business Fax Number: | |
| Mailing Address: | 30 N 1900 E, University Of Utah School Of Medicine, Urology, # 3b420 SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841320001 |
| Phone Number: | 7606726147 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2010 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01068979A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |