Provider Demographics
NPI:1548368731
Name:MCGUIRE, TROY L (MD)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:L
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 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:T-0111
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-7096
Mailing Address - Fax:206-987-3830
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:T-0111
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-7096
Practice Address - Fax:206-987-3830
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55019208000000X
WAMD60205612208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A550190Medicaid
CAG73382Medicare UPIN