Individual
TIFFANY MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 452-7550
Mailing address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA483
ID
363AM0700X
Medical Physician Assistant
Primary
PA483
ID
Other
Enumeration date
06/12/2006
Last updated
08/13/2026
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