Individual
SHAWN GILLETT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
10583 W LAKE HAZEL RD, BOISE, ID 83709
(208) 302-5950
(208) 302-5955
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-5950
(208) 302-5955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-886
ID
363A00000X
Physician Assistant
PA211907
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/21/2007
Last updated
02/17/2023
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