Individual
HEATHER MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
10789
MT
207RN0300X
Nephrology Physician
Primary
M-17224
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099678
BCBS PIN
MT
01
—
121300800
MDCD PIN
WY
Enumeration date
06/08/2006
Last updated
08/01/2023
Update your record
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