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Individual

HEATHER MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
746 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3486
(208) 814-8230
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

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
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