DR. Scott Allen Shappard SR., DO

NPI #1649275587 in Boise, Idaho

Provider Information

NPI Number: 1649275587
Entity Type: Individual
Name: DR. Scott Allen Shappard SR., DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 16, 2005
Last Updated: Nov 15, 2016

Practice Location

Address: 10255 W. OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-1430
Phone: (208) 302-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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