MEDICARE: PAUL MAGUIRE DC

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	111N00000X	Chiropractor	B01343	NV

General Provider Information

NPI Number	:	1902035991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MAGUIRE DC

Provider Business Mailing Address
First Line	:	3305 SPG MNT RD STE 92
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8629
Country	:	US
Telephone Number	:	702-365-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 SPG MNT RD
Second Line	:	92
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8609
Country	:	US
Telephone Number	:	702-365-7720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	07/10/2009

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Directions to “ PAUL MAGUIRE DC” Practice Location

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