Provider Demographics
NPI:1225373749
Name:MCGUINNESS, JOSEPH DANIEL (PA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DANIEL
Last Name:MCGUINNESS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:102 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEPANTO
Mailing Address - State:AR
Mailing Address - Zip Code:72354-2200
Mailing Address - Country:US
Mailing Address - Phone:870-475-2977
Mailing Address - Fax:870-475-3440
Practice Address - Street 1:102 W BROAD ST
Practice Address - Street 2:
Practice Address - City:LEPANTO
Practice Address - State:AR
Practice Address - Zip Code:72354-2200
Practice Address - Country:US
Practice Address - Phone:870-475-2977
Practice Address - Fax:870-475-3440
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2021-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARPA-491363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant