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1336283779
GLEN DAVID SHAPIRO
HAILEY, ID
NPI
1336283779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M9172)
Enumeration Date
2007-02-19
Last Update Date
2012-05-23
Business Address
-- GLEN DAVID SHAPIRO MD
513 N MAIN ST
HAILEY, ID 83333
Phone number: 877-754-6330
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Mailing Address
-- GLEN DAVID SHAPIRO MD
1420 N 2ND AVE
HAILEY, ID 83333
Phone number: 877-754-6330
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