Individual
JEFFREY CHARLES SHIRTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
980 W IRONWOOD DR STE 302, COEUR D ALENE, ID 83814-2668
(208) 292-5437
Mailing address
980 W IRONWOOD DR STE 302, COEUR D ALENE, ID 83814-2668
(208) 292-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-15642
ID
208000000X
Pediatrics Physician
TRN27183
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN27183
FL
Other
Enumeration date
03/21/2018
Last updated
06/24/2021
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