Tundra Mcdougal I

NPI #1740678234 in Meridian, Idaho

Provider Information

NPI Number: 1740678234
Entity Type: Individual
Name: Tundra Mcdougal I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jan 6, 2015
Last Updated: Jan 6, 2015

Practice Location

Address: 179 SW 5TH AVENUE
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 367-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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