NPI 1356308316

Shane a Andrew, DO

Practitioner Orthopaedic Surgery Physician Nampa, ID

Practice location

Address: 4424 E Flamingo Ave Suite 110, Nampa, ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties (3)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence O-0443 (ID)

Other Orthopaedic Surgery providers in Idaho →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence O0443 (ID)

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence OS9764 (FL)

Registry record

NPI: 1356308316
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2006
Record last updated: 22 Oct 2014

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.