Individual
MRS. STEPHANIE LOUISE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6515 COLISEUM BLVD, ALEXANDRIA, LA 71303-3735
(318) 442-9634
Mailing address
5987 STONEGATE DR, ALEXANDRIA, LA 71303-2199
(318) 820-6533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15113
MN
363A00000X
Physician Assistant
Primary
200059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722995
—
LA
Enumeration date
07/20/2006
Last updated
12/04/2024
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