Individual
DR. JENNIFER T SHALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
(208) 706-7050
(208) 706-7059
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M9899
ID
Other
Enumeration date
08/22/2006
Last updated
03/07/2014
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