Individual
MR. DALE W. MCGAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6140 W CURTISIAN, STE 102, BOISE, ID 83704-0109
(208) 367-7787
(423) 929-1427
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1293
TN
363A00000X
Physician Assistant
Primary
PA-924
ID
363AS0400X
Surgical Physician Assistant
1293
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3663908
—
TN
01
—
4140845
BC/BS
TN
01
—
4141412
BC/BS
TN
Enumeration date
03/08/2006
Last updated
09/20/2011
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