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Individual

ANDREW SHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-6930
(208) 381-6931
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7071069
ID
208600000X
Surgery Physician
RS20090316
NM
2086S0102X
Surgical Critical Care Physician
15405
NV

Other

Enumeration date
06/30/2009
Last updated
08/05/2025
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