Healthcare Provider Details

I. General information

NPI: 1598064339
Provider Name (Legal Business Name): MEGAN IRENE MARCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN IRENE CARROLL MD

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 POLE LINE RD W STE 213
TWIN FALLS ID
83301-5820
US

IV. Provider business mailing address

190 E BANNOCK ST
BOISE ID
83712-6241
US

V. Phone/Fax

Practice location:
  • Phone: 208-814-8475
  • Fax: 208-814-8953
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number9381029
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: