JONATHAN MOORE SHUPE

COEUR D ALENE, ID
NPI1417241597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M12445)
Enumeration Date2011-06-06
Last Update Date2020-10-02
Business Address
JONATHAN MOORE SHUPE M.D.
1919 LINCOLN WAY 315
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-6000
Mailing Address
JONATHAN MOORE SHUPE M.D.
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085
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