Provider Demographics
NPI:1730259045
Name:MCGAUGHEY, BIRGIT NONE (DOM)
Entity type:Individual
Prefix:DR
First Name:BIRGIT
Middle Name:NONE
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:DOM
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Other - Credentials:
Mailing Address - Street 1:HC 75 BOX 1224
Mailing Address - Street 2:447 STATE ROAD 95
Mailing Address - City:LOS OJOS
Mailing Address - State:NM
Mailing Address - Zip Code:87551-9723
Mailing Address - Country:US
Mailing Address - Phone:505-588-0264
Mailing Address - Fax:505-588-0008
Practice Address - Street 1:HC 75 BOX 1224
Practice Address - Street 2:447 STATE ROAD 95
Practice Address - City:LOS OJOS
Practice Address - State:NM
Practice Address - Zip Code:87551-9723
Practice Address - Country:US
Practice Address - Phone:505-588-0264
Practice Address - Fax:505-588-0008
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM761171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist