Individual
SHANE AHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-2711
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M-16442
ID
207RH0003X
Hematology & Oncology Physician
R3985
TX
207RX0202X
Medical Oncology Physician
R3985
TX
Other
Enumeration date
05/05/2014
Last updated
04/13/2022
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