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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GUNNAR HARRISON MAUGHAN, MSPO, CPO

Active Sole Proprietor

GUNNAR HARRISON MAUGHAN, MSPO, CPO is a Prosthetic/Orthotic Supplier healthcare provider located in BOISE, Idaho. NPI 1164121562 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · BOISE, ID

Registration Details

NPI Number
1164121562
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2023 (3.4903694937607 yrs)
Last Updated
Feb 24, 2023
Sole Proprietor
Yes

Practice Information

Address
9632 W EMERALD ST
BOISE, ID, 837049762
Browse ID providers · Browse ZIP 83704
Phone
2088665177
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Additional Specialty
Prosthetic/Orthotic Supplier
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.