Individual
DR. SHAUN STEPHEN SUMMERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201
(208) 232-1443
(208) 239-3434
Mailing address
1151 HOSPITAL WAY, BLDG. F, POCATELLO, ID 83201
(208) 232-1443
(208) 239-3434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49001
WI
208000000X
Pediatrics Physician
Primary
M-11365
ID
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
49001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808342900
—
ID
Enumeration date
01/16/2007
Last updated
03/17/2025
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