Individual
BOB M MCGINITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-3435
Mailing address
PO BOX 179, ANACONDA, MT 59711-0179
(509) 332-4061
(888) 622-1825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025057
—
WA
01
—
912153623
TAX ID
WA
Enumeration date
10/04/2006
Last updated
07/14/2016
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