Individual
TYLER MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3351
Mailing address
2002 BLACKBERRY DR, NORFOLK, NE 68701-3356
(402) 649-5333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/01/2018
Last updated
01/21/2021
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