Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | A70048 | CA |
NPI | 1083721351 |
---|---|
Provider Name | Dr. Sean Austin Mcghee |
First Address | Stanford, CA 94305-5101 |
Second Address | Stanford, CA 94305-5101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 29/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A700480 | (05) | CA |
GR0053510 | (05) | CA |
I29674 | (02) | CA |