Individual
MEGAN F GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 466-7869
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053560367
—
ID
Enumeration date
09/10/2008
Last updated
07/11/2012
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