Provider Demographics
NPI:1205193364
Name:MCAULEY, PATRICK CAMPBELL II (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:CAMPBELL
Last Name:MCAULEY
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S IOWA ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2615
Mailing Address - Country:US
Mailing Address - Phone:641-426-9406
Mailing Address - Fax:
Practice Address - Street 1:9002 190TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-6157
Practice Address - Country:US
Practice Address - Phone:253-904-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor