Doctor Name: | DR. SARA MAGILL |
NPI Number: | 1083028377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP |
License Number: | F0614372 |
Business Practice Address: | 300 W May St Marengo, IA - 523011261 |
Business Phone Number: | 3196425543 |
Business Fax Number: | |
Mailing Address: | 300 W May St, MARENGO |
State: | IA |
Postal Code: | 523011261 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 03/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F0614372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |