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Carolyn Jean Shoemaker, PA-C
Medical Physician Assistant in Moscow, Idaho
NPI 1477856649

Carolyn Jean Shoemaker is a Medical Physician Assistant based in Moscow, ID and is specialized in Medical. Carolyn Jean Shoemaker practices in Moscow, ID and has the professional credentials of PA-C. The NPI Number for Carolyn Jean Shoemaker is 1477856649 and holds a License No. PA-879 (Idaho).

The current practice location address for Carolyn Jean Shoemaker is 719 S Main St, Moscow, ID and can be reached out via phone at 208-883-1152. You can also correspond with Carolyn Jean Shoemaker through the mailing address at PO BOX 8007, MOSCOW, ID - 83843-0507 (mailing address contact number: 208-882-4511).

Location: 719 S Main St, Moscow, ID, 83843-0507
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Provider Profile Details
NPI Number
1477856649
Provider Name
Carolyn Jean Shoemaker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
719 S Main St, Moscow, ID, 83843-0507
Phone Number
208-883-1152
Fax Number
Provider Enumeration Date
12/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
719 S Main St
City
State
Zip
83843-3041
Phone Number
208-883-1152
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 8007
City
State
Zip
83843-0507
Phone Number
208-882-4511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-879 (Idaho)
Definition
Definition to come...
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