Doctor Name: | CARRIE H. MCGUIRE |
NPI Number: | 1104988138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 1510 |
Business Practice Address: | 2919 S Division St Guthrie, OK - 730446806 |
Business Phone Number: | 4052826301 |
Business Fax Number: | 4052826364 |
Mailing Address: | 2919 S Division St, GUTHRIE |
State: | OK |
Postal Code: | 730446806 |
Phone Number: | 4052826301 |
Fax Number: | 4052826364 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |