Individual
JEAN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2400 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(801) 786-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 786-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5341049-1204
UT
Other
Enumeration date
04/30/2013
Last updated
09/09/2016
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