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Search › Idaho › 1223E0200X

Gary Altenburg, DDS

NPI 1356558852 · on the registry since 2007 · sole proprietor

Practice

Address
450 W State St Ste 115
Eagle, ID 83616
Phone
(208) 286-4200
Fax
(208) 286-4201
Organisation at this address
Mrc Llc
Kinesis, Llc
Dan Streeby, D.D.S.
Grange Ophthalmology, Pllc
Grange Surgery Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
Licence states on file
ID, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho