Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALAN WALLACE MCINNES JR., M.D.
ActiveDR. ALAN WALLACE MCINNES JR., M.D. is a Ophthalmology healthcare provider located in EAGLE, Idaho. NPI 1942345228 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · EAGLE, ID
Registration Details
- NPI Number
- 1942345228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2007 (19.332450547846 yrs)
- Last Updated
- Oct 30, 2012
- Licenses
-
A98662 (CA)5755878-1205 (UT)M11139 (ID)
Practice Information
- Address
-
323 E RIVERSIDE DR, SUITE 136EAGLEEAGLE, ID, 836166865Browse ID providers · Browse ZIP 83616
- Phone
- 2089392939
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
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.