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Tundra Mcdougal
NPI 1740678234 · on the registry since 2015 · sole proprietor
Practice
- Address
- 179 Sw 5th Avenue
Meridian, ID 83642 - Phone
- (208) 367-8282
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 261QP2000X
261QP2000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho