Individual
ANNE M MACGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 E 3RD ST, SUITE 206, CASPER, WY 82601-3237
(307) 577-0445
Mailing address
940 E 3RD ST, SUITE 206, CASPER, WY 82601-3237
(307) 577-0445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3095-A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103988100
—
WY
Enumeration date
08/16/2006
Last updated
07/08/2007
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