Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 30170 | OK |
N | 208600000X | Surgeon | 30170 | OK |
N | 2086S0129X | Vascular Surgeon | 12473 | MT |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 036114698 | IL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2016030313 | MO |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 30170 | OK |
NPI | 1023239720 |
---|---|
Provider Name | Dr. Paula M Guinnip |
First Address | Sikeston, MO 63801-5044 |
Second Address | Mcalester, OK 74501-4269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 19/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H29391 | (02) |