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SHAWN L STATES M.D.

Individual Provider (NPI-1) Active

Anesthesiology

Provider Information

NPI Number
1144312182
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
1512 12TH AVE RD, NAMPA, ID, 836866008
Phone
(208) 461-2883
Fax
(208) 461-2953

Specialties & Taxonomies

Anesthesiology Primary License: ID #M-9553

All Addresses

LOCATION

1512 12TH AVE RD

NAMPA, ID, 836866008

(208) 461-2883

MAILING

PO BOX 190930

BOISE, ID, 837190930

(208) 302-9342