Shannon Burke, PA-C

NPI #1043943442 in Boise, Idaho

Provider Information

NPI Number: 1043943442
Entity Type: Individual
Name: Shannon Burke, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 5, 2022
Last Updated: Sep 26, 2023

Practice Location

Address: 1072 N LIBERTY ST STE 201
City: Boise
State: Idaho
ZIP Code: 83704-8708
Phone: (208) 302-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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