SHANE GARY MACHEN

IDAHO FALLS, ID
NPI1932330370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-0611)
Enumeration Date2009-08-03
Last Update Date2011-12-28
Business Address
Dr. SHANE GARY MACHEN D.O.
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number: 208-522-7666
Mailing Address
Dr. SHANE GARY MACHEN D.O.
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number: 208-522-7666
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