Individual
DANIEL SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 505-4437
Mailing address
115 W MAIN ST STE 201, BOISE, ID 83702-7303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4571360
ID
207R00000X
Internal Medicine Physician
DO70006050
WA
Other
Enumeration date
03/24/2022
Last updated
03/25/2026
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