Provider Demographics
NPI:1053644898
Name:MCINTYRE, MEGAN CORY (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CORY
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:825 W DEER FLAT RD
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-1275
Mailing Address - Country:US
Mailing Address - Phone:208-922-3355
Mailing Address - Fax:678-553-1263
Practice Address - Street 1:825 W DEER FLAT RD
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-1275
Practice Address - Country:US
Practice Address - Phone:208-922-3355
Practice Address - Fax:678-553-1263
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2022-12-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical