| Doctor Name: | MR. DAVID S MACNALLY |
| NPI Number: | 1093753592 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA C |
| License Number: | PA10003246 |
| Business Practice Address: | 1620 E 12th St The Dalles, OR - 97058 |
| Business Phone Number: | 5412969151 |
| Business Fax Number: | 5412964710 |
| Mailing Address: | Po Box 1520, THE DALLES |
| State: | OR |
| Postal Code: | 97058 |
| Phone Number: | 5412969151 |
| Fax Number: | 5412964710 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10003246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |