Shane McGuire, FMF Recon IDC
Military Health Care Provider, Independent Duty Corpsman in Oceanside, CA. Individual provider (NPI-1).
NPI number1013793751
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1013793751
- Entity type
- Individual (NPI-1)
- Name
- Shane McGuire
- Credential
- FMF Recon IDC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
200 Mercy CircleOceanside, CA 92055
Phone 760-725-8912
Mailing address
Po Box 555584Camp Pendleton, CA 92055-5584
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All 37 Independent Duty Corpsman providers in Oceanside · All 4,206 providers in Oceanside
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