Individual
MICHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-4100
(208) 814-4908
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8671031
ID
207R00000X
Internal Medicine Physician
DO-06846
IA
208M00000X
Hospitalist Physician
Primary
8671031
ID
208M00000X
Hospitalist Physician
DO-06846
IA
Other
Enumeration date
10/11/2011
Last updated
05/08/2026
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