Individual
MARGARET GRACE MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(289) 779-3366
Mailing address
2755 W HOGAN DR, FLAGSTAFF, AZ 86001-1188
(707) 849-0309
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN203559
AZ
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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