Individual
ELIZABETH ANN SCHACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W FORT ST # 111, BOISE, ID 83702-4501
(208) 695-9613
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4501
(208) 695-9613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14804
ID
Other
Enumeration date
04/05/2016
Last updated
02/25/2022
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