Dr. Gary D Musgrave
Chiropractic Sports Physician
3314 N. Cole Rd.
Boise
, Idaho 83704
Dr. Gary D Musgrave
Chiropractic Sports Physician
3314 N. Cole Rd.
Boise
, Idaho 83704
(208) 377-9932
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Gary D Musgrave
- 3314 N. Cole Rd.
- Boise, ID
- Zip : 83704
- Fax : (208) 377-9932
- Phone : (208) 377-9930
Second Address
- Dr. Gary D Musgrave
- 3314 N. Cole Rd.
- Boise, ID
- Zip : 83704
- Fax : (208) 377-9932
- Phone : (208) 377-9930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NS0005X | Chiropractic Sports Physician | 1586 | OH |
| Y | 111NS0005X | Chiropractic Sports Physician | CHIA-1306 | ID |
National Provider Identifier
| NPI | 1003930967 |
|---|---|
| Provider Name | Dr. Gary D Musgrave |
| First Address | Boise, ID 83704 |
| Second Address | Boise, ID 83704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2007 |
| Last Update Date | 04/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000136764 | ANTHEM (01) | OH |
| 341690892-00 | BWC (01) | OH |
| T92383 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.