Organization
JOHN L. SHUSS, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L SHUSS M.D. (PHYSICIAN)
(208) 732-3360
Entity
Organization
Contact information
Practice address
660 SHOSHONE ST E, SUITE 140, TWIN FALLS, ID 83301-6110
(208) 732-3360
(208) 732-3116
Mailing address
660 SHOSHONE ST E, SUITE 140, TWIN FALLS, ID 83301-6110
(208) 732-3360
(208) 732-3116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003957500
—
ID
01
—
020051434
RR MEDICARE
ID
Enumeration date
06/04/2006
Last updated
06/17/2008
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