Doctor Name: | SHAWN MCGARVEY |
NPI Number: | 1568876480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | AP5649 |
Business Practice Address: | 410 N Malacate St Ajo, AZ - 853212254 |
Business Phone Number: | 5203875651 |
Business Fax Number: | |
Mailing Address: | 20718 W Valley View Dr, BUCKEYE |
State: | AZ |
Postal Code: | 853961676 |
Phone Number: | 6023611857 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2014 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP5649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |