Individual
ILANA BETH SHUMSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4620 N BANTRY PL, BOISE, ID 83702-1863
(208) 343-2460
(208) 422-1319
Mailing address
4620 N BANTRY PL, BOISE, ID 83702-1863
(208) 343-2460
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7665
ID
Other
Enumeration date
01/23/2007
Last updated
02/25/2022
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