| Doctor Name: | ANGELA MARIE MCGUIRE |
| NPI Number: | 1053492256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 4458 |
| Business Practice Address: | 213 E Redwood Ave Sallisaw, OK - 749552811 |
| Business Phone Number: | 9187741122 |
| Business Fax Number: | |
| Mailing Address: | 8351 E 120th St N, COLLINSVILLE |
| State: | OK |
| Postal Code: | 740217163 |
| Phone Number: | 9183719813 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |