Gary D Musgrave in Boise - Sports Physician

Gary D Musgrave - NPI 1003930967

Gary D Musgrave is a Sports Physician in Boise, Idaho. Gary D Musgrave practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gary D Musgrave is 1003930967. The last update date is 2009-02-04.

Gary D Musgrave's current location address is 3314 N. Cole Rd., Boise, Idaho. You can contact this provider via phone number 2083779930 and fax number 2083779932. The mailing address for Gary D Musgrave is 3314 N. Cole Rd., Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary D Musgrave
Address 3314 N. Cole Rd., Boise, Idaho
Phone Number 2083779930
Fax Number 2083779932
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1003930967
Provider Enumeration Date 2007-03-18
Last Updated Date 2009-02-04

Provider Mailing Address Detail

Address 3314 N. Cole Rd.
City Boise
State Idaho (ID)
Post Code 83704
Phone Number 2083779930
Fax Number 2083779932

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No CHIA-1306
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
341690892-00 OH BWC
136764 OH ANTHEM

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FAQs about Gary D Musgrave

What is the unique identifier code issued to Gary D Musgrave by the Centers for Medicare & Medicaid Services?

The Gary D Musgrave has been assigned the NPI (National Provider Identifier) 1003930967. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gary D Musgrave's facilities are situated?

The facilities of Gary D Musgrave are physically located at the following address: 3314 N. Cole Rd., Boise, ID, 83704.

What is Gary D Musgrave's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary D Musgrave's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.

On what date was the 1003930967 assigned to Gary D Musgrave?

The Gary D Musgrave was issued its 1003930967 on 2007-03-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gary D Musgrave, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary D Musgrave, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-04.

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