Individual
SHANNON MARIE SECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 N 2ND AVE STE 100, SANDPOINT, ID 83864-1552
(208) 265-2242
Mailing address
420 N 2ND AVE STE 102, SANDPOINT, ID 83864-1552
(208) 265-2242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0-1385
ID
Other
Enumeration date
07/03/2017
Last updated
07/20/2020
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