Healthcare Provider Details

I. General information

NPI: 1063404317
Provider Name (Legal Business Name): MICHAEL F MAGUIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 CASTILLO ST
SANTA BARBARA CA
93105-4301
US

IV. Provider business mailing address

PO BOX 4753
BELFAST ME
04915-4753
US

V. Phone/Fax

Practice location:
  • Phone: 805-687-2424
  • Fax: 805-687-0885
Mailing address:
  • Phone: 805-687-2424
  • Fax: 805-687-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG73132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: