Individual
VICKI SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 721-1030
(877) 993-1515
Mailing address
1420 N 2ND AVE, HAILEY, ID 83333-8665
(208) 721-1030
(877) 993-1515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9163
ID
Other
Enumeration date
04/25/2007
Last updated
12/07/2011
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