Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 9998 | CA |
NPI | 1003162025 |
---|---|
Provider Name | Dr. Anthony William Mcguire |
First Address | Long Beach, CA 90804-2001 |
Second Address | Long Beach, CA 90804-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2012 |
Last Update Date | 27/07/2012 |