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Individual

DENNIS R MCGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6165 W EMERALD STREET, BOISE, ID 83704-8613
(208) 377-0777
(208) 377-0777
Mailing address
3340 E GOLDTONE WAY, MERIDIAN, ID 83642-1026
(208) 377-0777
(208) 377-1070

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
M-5249
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002754200
ID
01
820476391
TAX PAYER IDENTIFICATION#
ID
Enumeration date
08/10/2006
Last updated
04/08/2015
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