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Individual

DR. SHAYNE C STOKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1502 LOCUST ST N STE 600, TWIN FALLS, ID 83301-4164
(208) 734-6091
Mailing address
1502 LOCUST ST N STE 600, TWIN FALLS, ID 83301-4164
(208) 734-6091

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101234499
VA
207K00000X
Allergy & Immunology Physician
21289
NV
207K00000X
Allergy & Immunology Physician
Primary
M-15682
ID
208000000X
Pediatrics Physician
0101234499
VA

Other

Enumeration date
03/16/2006
Last updated
04/18/2022
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