Individual
GORDON MICHAEL MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
(720) 321-1759
Mailing address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116023494
VA
207Q00000X
Family Medicine Physician
Primary
DR.0054208
CO
208M00000X
Hospitalist Physician
DR.0054208
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06388736
—
CO
01
—
P01404953
RAIL ROAD MEDICARE
CO
Enumeration date
06/22/2011
Last updated
11/23/2016
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