MEDICARE: MCGINLEY MEDICAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1033720008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGINLEY MEDICAL, PC

Provider Business Mailing Address
First Line	:	2435 KING BLVD STE 233
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82604-3166
Country	:	US
Telephone Number	:	866-678-1623
Fax Number	:	833-992-2034

Provider Business Practice Location Address
First Line	:	234 E 1ST ST STE 230
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-2516
Country	:	US
Telephone Number	:	866-678-4699
Fax Number	:	833-992-2034

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH CHARLES MCGINLEY
Credential	:	MD, PHD
Telephone Number	:	215-847-1462

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	11/26/2024

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