Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 31087 | CA |
NPI | 1144439217 |
---|---|
Provider Name | Dr. Thomas P. Mcgahey |
First Address | El Cajon, CA 92020-1321 |
Second Address | El Cajon, CA 92020-1321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 02/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D31087 | (05) | CA |