NPI 1083603229

Shane Nathaniel McCauley, MD

Practitioner Occupational Medicine Physician Boise, ID

Practice location

Address: 6051 W Emerald St, Boise, ID 83704
Phone: (208) 302-7600
Fax: (208) 302-7605
Mailing address: 3340 E Goldstone Dr., Meridian, ID 83642

Registered specialties (5)

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence M-14730 (ID)

Other Preventive Medicine providers in Idaho →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X Licence 01059435A (IN)

Other Military Health Care Provider providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01059435A (IN)

Other Family Medicine providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M-14730 (ID)

Aerospace Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 01059435A (IN)

Registry record

NPI: 1083603229
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2005
Record last updated: 5 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.