Organization Name: | MCGUIRE AND ASSOCIATES FOOT AND ANKLE CARE, INC. |
NPI Number: | 1013281567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH ALLEN WINTERMUTE (ADMINISTRATOR) |
Mailing Address: | 2961 Loma Vista Rd Ventura |
State: | CA US |
Postal Code: | 930032915 |
Phone Number: | 8056482016 |
Fax Number: | 8056438667 |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |