Individual
MATTHEW CLAIBOURNE SHONNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3551 E OVERLAND RD, MERIDIAN, ID 83642-6757
(775) 327-5174
Mailing address
PO BOX 1128, BOISE, ID 83701-1128
(208) 884-1333
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9971149
ID
Other
Enumeration date
03/24/2020
Last updated
05/19/2025
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