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Christian T Shull, MD
Hematology & Oncology Physician in Idaho Falls, Idaho
NPI 1396899134

Christian T Shull is a Hematology & Oncology Physician based in Idaho Falls, ID and is specialized in Hematology & Oncology. Christian T Shull practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Christian T Shull is 1396899134 and holds a License No. M8794 (Idaho).

The current practice location address for Christian T Shull is 2330 Desoto St, Idaho Falls, ID and can be reached out via phone at 208-523-1100 and via fax at 208-523-1317.

Location: 2330 Desoto St, Idaho Falls, ID, 83404-7570
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Provider Profile Details
NPI Number
1396899134
Provider Name
Christian T Shull
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2330 Desoto St, Idaho Falls, ID, 83404-7570
Phone Number
208-523-1100
Fax Number
208-523-1317
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P000048425 P00241090 01 ID RR MEDICARE
000010148914 01 ID BLUE SHIELD OF IDAHO
72496 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
2330 Desoto St
City
State
Zip
83404-7570
Phone Number
208-523-1100
Fax Number
208-523-1317
person
Provider Business Mailing Address Details
Address
2330 Desoto St
City
State
Zip
83404-7570
Phone Number
208-523-1100
Fax Number
208-523-1317
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
M8794 (Idaho)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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