Individual
PATRICK C MAGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 9TH AVE, SUITE 120, LONGVIEW, WA 98632-2464
(360) 425-3720
(360) 425-0090
Mailing address
625 9TH AVE, SUITE 120, LONGVIEW, WA 98632-2464
(360) 425-3720
(360) 425-0090
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000193Z5
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115655
MEDICARE
OR
05
—
1819002
—
WA
Enumeration date
07/08/2005
Last updated
10/22/2007
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