Doctor Name: | MR. AIDAN C MAGUIRE |
NPI Number: | 1285794982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA16310 |
Business Practice Address: | 3581 Palmer Dr Ste. 401 Cameron Park, CA - 956828236 |
Business Phone Number: | 5306767337 |
Business Fax Number: | 5306761141 |
Mailing Address: | Po Box 45680, SAN FRANCISCO |
State: | CA |
Postal Code: | 941450680 |
Phone Number: | 5306263682 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA16310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |