Individual
SHANE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Mailing address
901 N CURTIS RD STE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
08/29/2022
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