Individual
MEGHAN M GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1072 N LIBERTY ST STE 303, BOISE, ID 83704-8708
(208) 302-4200
Mailing address
1072 N LIBERTY ST STE 303, BOISE, ID 83704-8708
(208) 302-4200
(208) 302-4255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-913
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001806098
REGENCE BLUESHIELD OF IDAHO
ID
05
—
1679726434
—
ID
01
—
PAS58
BLUE CROSS OF ID
ID
Enumeration date
10/24/2008
Last updated
04/23/2026
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