Organization
SHAUNA T WILLIAMS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA T WILLIAMS MD (PRESIDENT)
(208) 377-2273
Entity
Organization
Contact information
Practice address
1072 N LIBERTY ST, #201, BOISE, ID 83704-8706
(208) 377-2273
(208) 367-3059
Mailing address
1072 N LIBERTY ST, #201, BOISE, ID 83704-8706
(208) 377-2273
(208) 367-3059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5849
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004005600
—
ID
Enumeration date
01/30/2006
Last updated
02/07/2012
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