Organization
EASTERN IDAHO MEDICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN D SPEIRS D.O. (PRESIDENT)
(208) 535-4300
Entity
Organization
Contact information
Practice address
3200 CHANNING WAY, STE. 205, IDAHO FALLS, ID 83404-7546
(208) 535-4300
(208) 535-4315
Mailing address
3200 CHANNING WAY, STE. 205, IDAHO FALLS, ID 83404-7546
(208) 535-4300
(208) 535-4315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
ID
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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