Individual
MEGAN C MCDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
703 S AMERICANA BLVD, BOISE, ID 83702-5099
(208) 706-2663
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1507
ID
Other
Enumeration date
11/21/2006
Last updated
04/26/2022
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