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Individual

DR. SHAWN D SPEIRS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2575
Mailing address
2860 CHANNING WAY STE 213, IDAHO FALLS, ID 83404-7541
(208) 227-2570

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
O254
ID
208M00000X
Hospitalist Physician
Primary
O254
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806046300
ID
Enumeration date
01/10/2007
Last updated
09/20/2018
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