Individual
MARY E MCGUIGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 LEATHERWOOD LN NW, LOS RANCHOS, NM 87107-6438
(505) 918-4777
Mailing address
901 LEATHERWOOD LN NW, LOS RANCHOS, NM 87107-6438
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD2006-0270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19404506
—
NM
Enumeration date
05/15/2006
Last updated
06/12/2017
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