Individual
DR. ALYSSA ANES SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814
(208) 625-3500
(208) 625-3501
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42993
CO
207Q00000X
Family Medicine Physician
M-9632
ID
Other
Enumeration date
04/03/2006
Last updated
07/23/2025
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