NICHOLE BLAIR SHUMWAY

TWIN FALLS, ID
NPI1386263796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  O-1848)
Enumeration Date2020-04-15
Last Update Date2023-10-20
Business Address
NICHOLE BLAIR SHUMWAY DO
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4100
Mailing Address
NICHOLE BLAIR SHUMWAY DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: