Individual
DR. JACOB SCOTT SHIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 2ND ST S, NAMPA, ID 83651-3765
(208) 467-1361
Mailing address
310 2ND ST S, NAMPA, ID 83651-3765
(208) 467-1361
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100534
ID
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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