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Individual
MICHAEL R MCENTIRE
Active
Individual
MICHAEL R MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M-12480
ID
207L00000X
Anesthesiology Physician
R71475
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M-12480
ID
Other
Enumeration date
02/23/2010
Last updated
02/09/2016
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