Provider Demographics
NPI:1285017046
Name:MCMASTER, INARA AILA (MD)
Entity Type:Individual
Prefix:
First Name:INARA
Middle Name:AILA
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:MCMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 596
Mailing Address - Street 2:
Mailing Address - City:BLAIRMORE
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T0K0E0
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 W LAKEWAY RD STE 800
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-6335
Practice Address - Country:US
Practice Address - Phone:307-387-9850
Practice Address - Fax:307-487-8880
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD21992208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics