SHELLEY MARIE JACKS

BOISE, ID
NPI1679524920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M7159)
Enumeration Date2006-05-12
Last Update Date2011-04-08
Business Address
-- SHELLEY MARIE JACKS MD
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
-- SHELLEY MARIE JACKS MD
PO BOX 4268
PORTLAND, OR 97208-4268
Phone number: 503-372-2740