NPI 1003930967

Gary D Musgrave, DC

Practitioner Sports Physician Chiropractor Boise, ID

Practice location

Address: 3314 N. Cole Rd., Boise, ID 83704
Phone: (208) 377-9930
Fax: (208) 377-9932

Registered specialties (2)

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence CHIA-1306 (ID)

Other Chiropractor providers in Idaho →

Sports Physician Chiropractor

Chiropractic Providers Taxonomy 111NS0005X Licence 1586 (OH)

Registry record

NPI: 1003930967
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2007
Record last updated: 4 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.