IndividualActive
Dan Mcentire, MD
NPI 1417489485 · Gastroenterology Physician · Boise, ID
Provider details
- NPI number
- 1417489485
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101278290 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6259 W Emerald St
Boise, ID 83704-8731
Phone: (208) 489-1900
Approximate (ZIP-level) locationGet directions
Mailing address
6259 W Emerald St
Boise, ID 83704-8731
Additional practice locations (1)
- 5080 E Commerce StNampa, ID 83687-5513Phone: (208) 489-1900
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.