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1558735514
SAMUEL SHINKLE
EAGLE, ID
NPI
1558735514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1318)
Enumeration Date
2015-11-13
Last Update Date
2021-09-08
Business Address
SAMUEL SHINKLE PA-C
435 S EAGLE RD
EAGLE, ID 83616-6067
Phone number: 208-939-8200
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Mailing Address
SAMUEL SHINKLE PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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