MEDICARE: MICHAEL S MCGUIRE MD

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	207X00000X	Orthopaedic Surgery Physician	94703	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	200027684	OTHER	NM	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20276	OTHER	NM	PRESBYTERIAN
2	88005C002	OTHER	NM	TRICARE
4	NM000642	OTHER	NM	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0761430001	OTHER	NM	DMERC

General Provider Information

NPI Number	:	1922091495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S MCGUIRE MD

Provider Business Mailing Address
First Line	:	PO BOX 1560
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-1560
Country	:	US
Telephone Number	:	505-647-8366
Fax Number	:	505-647-8381

Provider Business Practice Location Address
First Line	:	4351 E LOHMAN AVE STE 301
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8262
Country	:	US
Telephone Number	:	575-532-9755
Fax Number	:

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/28/2023

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Directions to “ MICHAEL S MCGUIRE MD” Practice Location

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