Individual
SHAWN SATTERTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 SPRUCE ST, SHELLEY, ID 83274-1441
(801) 318-4957
Mailing address
215 SPRUCE ST, SHELLEY, ID 83274-1441
(801) 318-4957
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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