Individual
VANESSA MACDONAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
1033 S KINGFISHER WAY, BOISE, ID 83709-1235
(208) 353-5366
(208) 353-5366
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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