Individual
MEGAN RUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1075 N CURTIS ROAD, STE 300, BOISE, ID 83706
(208) 302-2000
(208) 302-2055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-2000
(208) 302-2055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110-004848
VA
363AM0700X
Medical Physician Assistant
Primary
PA-1478
ID
Other
Enumeration date
01/27/2015
Last updated
03/10/2017
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