NPI 1144312182
Shawn L States, MD
Practice location
- Address
- 1512 12th Ave Rd, Nampa, ID 83686-6008
- Phone
- (208) 461-2883
- Fax
- (208) 461-2953
- Mailing address
- PO Box 190930, Boise, ID 83719-0930
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1144312182
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Sep 2006
- Record last updated
- 31 Oct 2023
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.