Provider Demographics
NPI:1093906224
Name:MCGUIRE, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KISTER AVE, BUILDING 5166
Mailing Address - Street 2:U.S. ARMY HEALTH CLINIC
Mailing Address - City:DUGWAY
Mailing Address - State:UT
Mailing Address - Zip Code:84022
Mailing Address - Country:US
Mailing Address - Phone:435-831-2027
Mailing Address - Fax:
Practice Address - Street 1:KISTER AVE, BUILDING 5166
Practice Address - Street 2:U.S. ARMY HEALTH CLINIC
Practice Address - City:DUGWAY
Practice Address - State:UT
Practice Address - Zip Code:84022
Practice Address - Country:US
Practice Address - Phone:435-831-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO446752083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine