Provider Demographics
NPI:1285888420
Name:MCGINN, DEBBIE ALAINA (DO)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:ALAINA
Last Name:MCGINN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 W STATE ROUTE 89A
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-4937
Mailing Address - Country:US
Mailing Address - Phone:928-204-4944
Mailing Address - Fax:
Practice Address - Street 1:117 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5293
Practice Address - Country:US
Practice Address - Phone:928-596-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203566207Q00000X
AZ005871207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1285888420Medicaid
VA1285888420Medicaid
VAP01400324Medicare PIN