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Individual

SHAUNA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Mailing address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 375-5286

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
M5849
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821150285
NPI
ID
Enumeration date
12/14/2006
Last updated
12/05/2025
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