Organization
MAGUIRE PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT STEPHEN MAGUIRE M.D. (OWNER)
(318) 572-3454
Entity
Organization
Contact information
Practice address
102 THOMAS RD, SUITE 119, WEST MONROE, LA 71291-7366
(318) 338-3560
(318) 338-3564
Mailing address
102 THOMAS RD, SUITE 119, WEST MONROE, LA 71291-7366
(318) 338-3560
(318) 338-3564
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
023149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494950
—
LA
Enumeration date
01/21/2010
Last updated
08/20/2010
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