Individual
MEGAN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
810 SIXTH AVE, SANDPOINT, ID 83864-5396
(208) 265-2242
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-2251
ID
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
04/02/2026
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