Organization
MCGUIRE WOUND & OSTOMY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL MCGUIRE (OWNER)
(575) 624-2095
Entity
Organization
Contact information
Practice address
1717 W 2ND ST, SUITE 101, ROSWELL, NM 88201-2000
(575) 624-2095
Mailing address
PO BOX 1555, ROSWELL, NM 88202
(575) 624-2095
(575) 627-5721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R38567
NM
Other
Enumeration date
05/01/2009
Last updated
07/27/2012
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