| NPI | 1467872143 |
|---|---|
| Former Name | JEFFREY MICHAEL MAGUIRE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY TP909) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 60) |
| 207Q00000X Family Medicine (Licence: AZ 007390) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-11-29 |