Individual
MAGUIRE DINNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 MONONGAHELA BLVD, MORGANTOWN, WV 26505-3043
(304) 293-0111
Mailing address
4710 W CARLA VISTA DR, CHANDLER, AZ 85226-2915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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