Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 94102 | NM |
NPI | 1003841032 |
---|---|
Provider Name | Patrick R Mcginnis |
First Address | Albuquerque, NM 87125 |
Second Address | Albuquerque, NM 87109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H14235 | (02) | |
R7821 | (05) | NM |