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Individual

MR. PAUL MONROE MCGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
4100 LAKE OTIS PKWY, SUITE #310, ANCHORAGE, AK 99508-5222
(907) 561-2837
(907) 561-6128
Mailing address
4100 LAKE OTIS PKWY, SUITE #310, ANCHORAGE, AK 99508-5222
(907) 561-2837
(907) 561-6128

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO01017
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PO1017
AK
Enumeration date
02/01/2007
Last updated
07/09/2007
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