Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 200204246 | MO |
NPI | 1023032414 |
---|---|
Provider Name | Dr. Scott Ernest Mcguire |
First Address | St Joseph, MO 64506 |
Second Address | St Joseph, MO 64506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 18/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205868102 | (05) | MO |
H65047 | (02) |