BRENDA J SHAW

IDAHO FALLS, ID
NPI1679642037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA587)
Enumeration Date2006-11-07
Last Update Date2009-12-15
Business Address
-- BRENDA J SHAW PA
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4360
Phone number: 208-523-8844
Mailing Address
-- BRENDA J SHAW PA
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4360
Phone number: 208-523-8844
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