Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD2011-0722 | NM |
NPI | 1013979467 |
---|---|
Provider Name | Elizabeth Mcguire |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Albuquerque, NM 87102-4517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 22/03/2017 |