SHANNON JENKINS

IDAHO FALLS, ID
NPI1023083680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: ID  O0424)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: AZ  3863)
Enumeration Date2006-02-17
Last Update Date2008-12-23
Business Address
-- SHANNON JENKINS DO
2860 CHANNING WAY SUITE 100
IDAHO FALLS, ID 83404-7531
Phone number: 208-535-4575
Mailing Address
-- SHANNON JENKINS DO
2860 CHANNING WAY SUITE 100
IDAHO FALLS, ID 83404-7531
Phone number: 208-535-4575