Elisabeth Shell, PHD,, PA-C

NPI #1205115615 in Boise, Idaho

Provider Information

NPI Number: 1205115615
Entity Type: Individual
Name: Elisabeth Shell, PHD,, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHD,, PA-C
Enumeration Date: Aug 16, 2011
Last Updated: May 23, 2024

Practice Location

Address: 500 W FORT ST. CRH 2ND FLOOR
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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