Individual
SHAWN G HEMENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2645
Mailing address
190 E. BANNOCK ST., BOISE, ID 83702
(208) 381-2222
(208) 381-4509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M11069
ID
Other
Enumeration date
06/29/2010
Last updated
02/16/2011
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