Individual
DR. RICHARD FETHERSTON MAGUIRE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2339
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101270242
VA
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
0101270242
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2019
Last updated
11/21/2023
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